中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
16期
138-140,141
,共4页
病毒性肠炎%惊厥%血盐水平%脑脊液
病毒性腸炎%驚厥%血鹽水平%腦脊液
병독성장염%량궐%혈염수평%뇌척액
Viral enteritis%Convulsions%Blood salt levels%Cerebrospinal fluid
目的：探讨病毒性肠炎合并惊厥的血盐水平及脑脊液病毒生化检查结果。方法：回顾性分析本院2010年1月-2014年10月收治的病毒性肠炎合并惊厥患儿69例的临床资料，将惊厥可按照发作频率分为频繁性（>3次）惊厥组（22例）与非频繁性（<3次）惊厥组（47例），按性质分为良性惊厥（52例）与非良性惊厥（17例），比较频繁性惊厥与非频繁性惊厥、良性惊厥与非良性惊厥患儿的血盐水平及脑脊液病毒生化检查结果。结果：惊厥频繁患儿的低血钠、低血钾、低血钙、低血镁及脑脊液生化检查病毒阳性比例均显著高于惊厥非频繁患儿（P<0.05）；良性惊厥患儿体温、惊厥发作次数、惊厥持续时间及大便轮状病毒检查阳性率均显著低于非良性惊厥患儿（P<0.05）。结论：病毒性肠炎合并惊厥患儿中频繁性惊厥伴有低血钠、低血钾、低血钙、低血镁症状及脑脊液病毒感染，良性惊厥患儿的体温、惊厥发作次数、惊厥持续时间及大便轮状病毒检查阳性率均要低于非良性惊厥。
目的：探討病毒性腸炎閤併驚厥的血鹽水平及腦脊液病毒生化檢查結果。方法：迴顧性分析本院2010年1月-2014年10月收治的病毒性腸炎閤併驚厥患兒69例的臨床資料，將驚厥可按照髮作頻率分為頻繁性（>3次）驚厥組（22例）與非頻繁性（<3次）驚厥組（47例），按性質分為良性驚厥（52例）與非良性驚厥（17例），比較頻繁性驚厥與非頻繁性驚厥、良性驚厥與非良性驚厥患兒的血鹽水平及腦脊液病毒生化檢查結果。結果：驚厥頻繁患兒的低血鈉、低血鉀、低血鈣、低血鎂及腦脊液生化檢查病毒暘性比例均顯著高于驚厥非頻繁患兒（P<0.05）；良性驚厥患兒體溫、驚厥髮作次數、驚厥持續時間及大便輪狀病毒檢查暘性率均顯著低于非良性驚厥患兒（P<0.05）。結論：病毒性腸炎閤併驚厥患兒中頻繁性驚厥伴有低血鈉、低血鉀、低血鈣、低血鎂癥狀及腦脊液病毒感染，良性驚厥患兒的體溫、驚厥髮作次數、驚厥持續時間及大便輪狀病毒檢查暘性率均要低于非良性驚厥。
목적：탐토병독성장염합병량궐적혈염수평급뇌척액병독생화검사결과。방법：회고성분석본원2010년1월-2014년10월수치적병독성장염합병량궐환인69례적림상자료，장량궐가안조발작빈솔분위빈번성（>3차）량궐조（22례）여비빈번성（<3차）량궐조（47례），안성질분위량성량궐（52례）여비량성량궐（17례），비교빈번성량궐여비빈번성량궐、량성량궐여비량성량궐환인적혈염수평급뇌척액병독생화검사결과。결과：량궐빈번환인적저혈납、저혈갑、저혈개、저혈미급뇌척액생화검사병독양성비례균현저고우량궐비빈번환인（P<0.05）；량성량궐환인체온、량궐발작차수、량궐지속시간급대편륜상병독검사양성솔균현저저우비량성량궐환인（P<0.05）。결론：병독성장염합병량궐환인중빈번성량궐반유저혈납、저혈갑、저혈개、저혈미증상급뇌척액병독감염，량성량궐환인적체온、량궐발작차수、량궐지속시간급대편륜상병독검사양성솔균요저우비량성량궐。
Objective:To explore the blood salt levels and CSF biochemical in Viral enteritis combined with convulsions. Method:The clinical date of 69 children with viral enteritis merger and convulsions in our hospital from January 2010 to October 2014 were retrospectively analysed.They were divided into frequent seizures(≥3 times) group(22 patients) and non-frequent (<3 times) seizures(47 cases) group according to the seizures frequency,according to the nature they were divided into benign convulsions (52 patients) and non-benign convulsions (17 patients).Salt levels in blood and viral biochemical test results of cerebrospinal fluid were compared between Frequent seizures and non-frequent seizures,Benign convulsions and Non-benign convulsions.Result:Frequent seizures group were significantly higher than the non-frequent seizures group(P<0.05) and the Benign convulsions group were significantly lower than the Non-benign convulsions group (P<0.05) in the following aspects: The temperature, the number of seizures,duration of convulsions and the positive rate of rotavirus stool test in the Benign convulsions group were lower than that of the Non-benign convulsions group. Conclusion: Viral enteritis with frequent seizures convulsions is often accompanied by the symptoms of hyponatremia, hypokalemia, hypocalcemia, hypomagnesemia and viral infection of cerebrospinal fluid. The temperature, the number of seizures, duration of convulsions and the positive rate of rotavirus stool test in the Benign convulsions group were lower than that of the Non-benign convulsions group.
