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目的明确早期新生儿惊厥的病因,有效控制惊厥的发作,以减少后遗症的发生,达到优生优育。方法分析新生儿惊厥的发生率、病因以及与日龄的关系。结果显示以缺氧缺血性脑病(HIE)和颅内出血(ICH)多见,发病时间多在生后3d内,其次为低血钙,发病时间多在生后1周,而后天性感染,主要是新生儿肺炎发生时间较晚。结论早期发生惊厥者主要与围产期窒息有关,ICH次之,因此,应对高危新生儿进行监护,早期予以治疗。
Objective To clarify the etiology of early neonatal seizures and effectively control the seizures in order to reduce the occurrence of sequelae and achieve prenatal and postnatal care. Methods The incidence of neonatal convulsions, etiology and the relationship with age were analyzed. The results showed that hypoxic-ischemic encephalopathy (HIE) and intracranial hemorrhage (ICH) more common onset time in more than 3d after birth, followed by hypocalcemia, morbidity time more than 1 week after birth, and then acquired infection, the main Neonatal pneumonia is late. Conclusion Early convulsions were mainly associated with perinatal asphyxia, ICH followed, therefore, should be high-risk neonatal care, early treatment.