标题:
以轻度胃肠炎起病的婴幼儿惊厥临床分析The Clinical Study of Mild Gastroenteritis Onset Benign Infantile Convulsions
作者:
马春艳, 朱华
关键字:
轻度胃肠炎, 惊厥, 婴幼儿Gastroenteritis, Benign Infantile Convulsions, Infantile
期刊名称:
《Asian Case Reports in Pediatrics》, Vol.4 No.3, 2016-11-28
摘要:
目的：回顾内蒙古自治区人民医院儿科以轻度胃肠炎起病的婴幼儿惊厥病例，分析其临床特点。方法：对临床以轻度胃肠炎起病，病程中出现惊厥的患儿52例(女孩33例，男孩19例)进行临床观察和分析，并且随访至少3月。结果：所有观察患儿起病年龄是4~30月，男女比例是1.74。其中单次惊厥42例，发生2次以上惊厥10例；惊厥发生时间在胃肠炎起病平均2.37天；病人平均就诊次数为1.81次；全部病例进行脑电图检查，其中脑电图异常8例；全部病例中的48例(92.31%)进行了头颅影像学检查，头颅CT检查22例，头颅MRI检查26例，头颅CT检查均正常，仅3例在头颅MRI检查中发现轻度的脑外间隙增宽，轮状病毒抗体阳性20例(38.46%)。所有病例随访3~6月，再次惊厥1例。结论：婴幼儿期的轻度胃肠炎需警惕惊厥发生，大多预后良好。
Purpose: To analyze the electroclinical features with mild gastroenteritis onset benign infantile convulsions from the Inner Mongolia Autonomous Region People’s Hospital. Methods: We re-viewed and analyzed the medical records of 52 patients (33 females and 19 males) diagnosed with mild gastroenteritis onset benign infantile convulsions and followed-up for at least 3 months. Results: The age of onset was 4 - 30 months and the female/male ratio was 1.74. There are 42 cases of single seizures, and 10 cases of multiple seizures. The average interval between the onset of gastroenteritis and seizures was 2.37 days. The average of the patients visit times was 1.81. Interictal electroencephalographic studies were accomplished in 52 patients. The EEG was abnormal in 8 patients (15.38%). Neuroimaging studies were accomplished in 48 patients (92.31%), cranial CT in 22 patients and MRI in 26 subjects. All CT results were normal. MRI results showed that 3 cases presented with an enlarged extra cerebral space in the temporal lobe. Rotavirus antigen was positive in stools in 20 cases (38.46%). Only 1 out of all patients suffered from recurrence of seizures during 3 - 6-month follow-up. Conclusions: The infant stage mild gastroenteritis needs to be mindful of convulsions. Most of the BICE’s prognosis is good.