CAJ | 학술논문

目的：探讨轻度胃肠炎伴婴幼儿良性惊厥的临床特点及预后。方法对248例符合轻度胃肠炎伴婴幼儿良性惊厥诊断的患儿进行临床分析,并随访12个月以上。结果发病年龄3月龄~3岁；1次病程中惊厥发作2次以上者124例,惊厥发作5 min以上者64例；头颅CT/MRI检查、脑电图检查,均未见异常；血糖、血电解质均正常,脑脊液常规、生物化学检查正常,脑脊液细菌涂片和培养均为阴性；随访中有14例(5．6%)出现复发,12例(4．8%)出现热性惊厥,8例(3．2%)转化为癫疒间。结论轻度胃肠炎伴婴幼儿良性惊厥多数病例预后良好,少数病例有向热性惊厥及癫疒间转化的可能,在轻度胃肠炎伴婴幼儿良性惊厥后出现热性惊厥的患儿转化为癫疒间的可能性较大,且轻度胃肠炎伴婴幼儿良性惊厥在惊厥频繁发作时对中枢神经元会造成损伤,若再次有惊厥发作应及时就诊,以免延误诊治。
목적：탐토경도위장염반영유인량성량궐적림상특점급예후。방법대248례부합경도위장염반영유인량성량궐진단적환인진행림상분석,병수방12개월이상。결과발병년령3월령~3세；1차병정중량궐발작2차이상자124례,량궐발작5 min이상자64례；두로CT/MRI검사、뇌전도검사,균미견이상；혈당、혈전해질균정상,뇌척액상규、생물화학검사정상,뇌척액세균도편화배양균위음성；수방중유14례(5．6%)출현복발,12례(4．8%)출현열성량궐,8례(3．2%)전화위전녁간。결론경도위장염반영유인량성량궐다수병례예후량호,소수병례유향열성량궐급전녁간전화적가능,재경도위장염반영유인량성량궐후출현열성량궐적환인전화위전녁간적가능성교대,차경도위장염반영유인량성량궐재량궐빈번발작시대중추신경원회조성손상,약재차유량궐발작응급시취진,이면연오진치。
Objective To explore the clinical characteristics and the prognosis of benin convulsions as-sociated with mild gastroenteritis( BICE) in children. Methods To study clinical features of 248 children with BCIE,they followed up for 12 months,and their prognosis were observe. Results Age between 3 months and 3 years,twice or more seizures were occurred on 124 patients. 64 patients suffered the seizures more than 30 mi-nutes. Cranial CT/MRI showed no abnormality. Laboratory examinations were normal, including plasma glu-cose,serum electrolytes and cerebrospinal fluid. Followed up for 12 months,14 patients (5. 6%) suffered from recurrence of BICE,12 patients (4. 8%) suffered from simple febrile seizures,and 8 patients (3. 2%) devel-oped epilepsy. Conclusion The prognosis is good in majority of cases,but some cases may transform febrile seizure or epilepsy. It is more likely to transform epilepsy,when the children suffer from febrile seizure.