论文部分内容阅读
目的:探讨轻度胃肠炎伴良性婴幼儿惊厥(BICE)的临床特点和预后。方法:对本院2009年1月~2011年6月因急性胃肠炎合并无热惊厥住院并诊断为BICE的患儿进行临床分析并进行2年以上随访。结果:26例患儿发病月龄8~38个月,冬季发病18例,惊厥发作形式表现为全身强直阵挛发23例,持续时间不超过5 min,1次病程中惊厥>2次3例。粪便轮状病毒检测阳性19例,血生化、头颅CT及发作间期脑电图检查正常,惊厥停止后未行抗癫痫治疗。随访26例,2例复发,随访期间患儿精神运动发育正常。结论:BICE发病年龄多为12~24月龄,冬季多发,轮状病毒为主要病原,预后良好,无需长期使用抗癫痫药物治疗。
Objective: To investigate the clinical features and prognosis of mild gastroenteritis with benign infantile convulsions (BICE). Methods: The clinical data of hospitalized patients diagnosed as BICE with acute gastroenteritis complicated with no febrile seizures in our hospital from January 2009 to June 2011 were analyzed and followed up for more than 2 years. Results: Twenty-six patients had onset of 8 months to 38 months and 18 cases of winter onset. The seizure manifestations were 23 cases of generalized tonic-clonic syndrome, with duration of no more than 5 minutes and convulsions> 2 times in one course of disease . Stool rotavirus positive in 19 cases, blood biochemistry, head CT and interictal EEG normal, convulsions did not stop after antiepileptic treatment. Follow-up 26 cases, 2 cases of recurrence, mental health during the follow-up of children with normal development. Conclusion: The age of onset of BICE is mostly 12 to 24 months old. In winter, rotavirus is the main pathogen. The prognosis is good. There is no need for long-term antiepileptic treatment.