摘要
目的：探讨小儿高热惊厥的临床诊断和治疗情况。方法：本组46例均为2009年3月-2012年l2月我院诊治的小儿高热惊厥病例。首选地西泮（0.3-0.5）mg/kg治疗,注意患儿的呼吸、心跳、面色改变及肌张力变化情况。惊厥控制后给予常规剂量苯巴比妥口服。采用药物及物理降温。对于严重的惊厥,可适当应用脱水剂。结果：46例患儿均在1-2周内治愈出院,平均住院治疗时间6.5d。复发情况统计：所有病例均得到随访。随诊1年,2例患儿再次复发高热惊厥（占4.3%）,复发的2例患儿首次发病年龄均在3岁以下。其中有1例患儿发展为癫痫。结论：小儿高热惊厥的发病可见于任何年龄,准确的诊断和及时的治疗可改善患儿的预后,使癫痫得到尽早的控制。
Objective：To investigate the clinical diagnosis and treatment of children with febrile convulsion.Methods：46 febrile convulsion children of this group were diagnozed and treated from Mar 2009 to Dec 2012 in our hospital.Diazepam （0.3-0.5）mg/kg was used for treatment.We paid attention to the changes in children with breathing,heartbeat,complexion change and muscular tension.After controlling seizure,normal doses of phenobarbital was used.Use drugs and physical for cooling.For severe convulsions,dehydrating agent was applicated.Results：All the 46 cases were healed and discharged from hospital in 1-2weeks,the average hospitalization time was 6.5d.Recurrence statistics showed that all cases were followed up.After following up of 1 years,2 children had recurrent febrile seizures （4.3%）,whose first onset age were under 3 years old.There are 1 cases of epilepsy.Conclusion：The incidence of febrile convulsion of children could be seen at any age.Accurate diagnosis and timely treatment can improve children＆#39;s epilepsy to make early control.
出处
《中国医药导刊》
2014年第2期337-338,共2页
Chinese Journal of Medicinal Guide
关键词
小儿
高热
惊厥
诊断
治疗
Children
Hyperthermia
Convulsion
Diagnosis
Treatment
