中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
1058-1059,1070
,共3页
胃肠炎%惊厥%癫痫%婴幼儿
胃腸炎%驚厥%癲癇%嬰幼兒
위장염%량궐%전간%영유인
gastroenteritis%convulsion%epilepsy%infant
目的：探讨轻度胃肠炎伴婴幼儿良性惊厥的临床特点。方法对229例符合轻度胃肠炎伴婴幼儿良性惊厥的3岁内患儿的临床资料、辅助检查结果及随访资料进行回顾性分析。结果轻度胃肠炎伴婴幼儿良性惊厥在性别方面无统计学差异（χ2＝2．268，P＞0．05）；24月龄内发病204例（89．1％），为高发，具有统计学意义（χ2＝6．75，P＜0．05）；10～12月份发病89例（38．9％），1～3月份发病68例（29．7％），发病季节以冬春季为主，差异具有统计学意义（χ2＝6．38，P＜0．05）；158例（69％）有呕吐，其中93例（40．6％）伴有腹泻，71例（31．0％）仅有呕吐无明显腹泻；肠道病毒检测阳性32例（13．90％），呼吸道病毒检出阳性53例（27．5％）；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；头颅CT／MRI检查、脑电图检查，均未见异常；随访中有12例（5．2％）出现复发，10例（4．4％）出现热性惊厥，6例（2．6％）诊断为癫痫。结论轻度胃肠炎伴婴幼儿良性惊厥大多数病例预后良好，少数病例有向热性惊厥及癫痫转化的可能，应动态随访12个月。
目的：探討輕度胃腸炎伴嬰幼兒良性驚厥的臨床特點。方法對229例符閤輕度胃腸炎伴嬰幼兒良性驚厥的3歲內患兒的臨床資料、輔助檢查結果及隨訪資料進行迴顧性分析。結果輕度胃腸炎伴嬰幼兒良性驚厥在性彆方麵無統計學差異（χ2＝2．268，P＞0．05）；24月齡內髮病204例（89．1％），為高髮，具有統計學意義（χ2＝6．75，P＜0．05）；10～12月份髮病89例（38．9％），1～3月份髮病68例（29．7％），髮病季節以鼕春季為主，差異具有統計學意義（χ2＝6．38，P＜0．05）；158例（69％）有嘔吐，其中93例（40．6％）伴有腹瀉，71例（31．0％）僅有嘔吐無明顯腹瀉；腸道病毒檢測暘性32例（13．90％），呼吸道病毒檢齣暘性53例（27．5％）；血糖、血電解質均正常，腦脊液常規、生物化學檢查正常，腦脊液細菌塗片和培養均為陰性；頭顱CT／MRI檢查、腦電圖檢查，均未見異常；隨訪中有12例（5．2％）齣現複髮，10例（4．4％）齣現熱性驚厥，6例（2．6％）診斷為癲癇。結論輕度胃腸炎伴嬰幼兒良性驚厥大多數病例預後良好，少數病例有嚮熱性驚厥及癲癇轉化的可能，應動態隨訪12箇月。
목적：탐토경도위장염반영유인량성량궐적림상특점。방법대229례부합경도위장염반영유인량성량궐적3세내환인적림상자료、보조검사결과급수방자료진행회고성분석。결과경도위장염반영유인량성량궐재성별방면무통계학차이（χ2＝2．268，P＞0．05）；24월령내발병204례（89．1％），위고발，구유통계학의의（χ2＝6．75，P＜0．05）；10～12월빈발병89례（38．9％），1～3월빈발병68례（29．7％），발병계절이동춘계위주，차이구유통계학의의（χ2＝6．38，P＜0．05）；158례（69％）유구토，기중93례（40．6％）반유복사，71례（31．0％）부유구토무명현복사；장도병독검측양성32례（13．90％），호흡도병독검출양성53례（27．5％）；혈당、혈전해질균정상，뇌척액상규、생물화학검사정상，뇌척액세균도편화배양균위음성；두로CT／MRI검사、뇌전도검사，균미견이상；수방중유12례（5．2％）출현복발，10례（4．4％）출현열성량궐，6례（2．6％）진단위전간。결론경도위장염반영유인량성량궐대다수병례예후량호，소수병례유향열성량궐급전간전화적가능，응동태수방12개월。
Objective To discuss the clinical features of benign infantile convulsions associated with mild gastroenteritis.Methods Retrospective analysis was conducted on clinical data, auxiliary examination results and follow-up data of 229 children under 3 years old showing benign convulsions associated with mild gastroenteritis.Results There was no statistical significance in incidence of benign infantile convulsions associated with mild gastroenteritis between genders (χ2 =2.268,P>0.05).Among children under 24 months old there were 204 cases (89.1%) , and the incidence was high (χ2 =6.75,P<0.05) .The onset of 89 cases (38.9%) was during October to December and 68 cases ( 29.7%) during January to March.Winter and spring were the frequent onset seasons with statistical significance (χ2 =6.38,P<0.05).Vomiting occurred in 158 cases (69%), including 93 cases (40.6%) companied with diarrhea and 71 cases (31.0%) without obvious signs of diarrhea.Enterovirus was positive in 32 cases (13.90%) and respiratory virus was positive in 53 cases (27.5%).For all cases, blood sugar and blood electrolyte were normal, cerebrospinal fluid (CSF) kept normal, and no abnormality was found in biochemical examination.CSF culture was negative.No abnormalities were found in brain CT/MRI scan and EEG examination.In the follow-up period, there were 12 recurrent cases (5.2%) and 10 cases (4.4%) of febrile convulsion.Six cases (2.6%) were diagnosed as epilepsy.Conclusion Most cases of benign infantile convulsions associated with mild gastroenteritis obtain good prognosis.A few of them might develop into febrile convulsion or epilepsy, so dynamic follow-up lasting 12 months is necessary.
