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目的分析小儿肺炎支原体感染合并惊厥的病因及热惊厥的治疗方法,以便指导临床诊治。方法选取2009年9月—2012年8月我院收治的肺炎支原体感染合并惊厥患儿97例,采用控制惊厥、控制高热、病因治疗及加强护理等方法治疗热惊厥,并记录患儿发病病因。结果患儿病因为热惊厥57例(58.8%),电解质紊乱19例(19.6%),支原体脑炎10例(10.3%),癫痫7例(7.2%),其他病因(大脑缺氧或屏气发作等)4例(4.1%),部分患儿惊厥是由多种因素造成。经有效治疗,57例热惊厥患儿均痊愈出院,未发生癫痫、智力下降等后遗症。结论小儿肺炎支原体感染合并惊厥的原因主要包括热惊厥、电解质紊乱、支原体脑炎等,应全面考虑可能病因,积极预防,避免误诊误治。
Objective To analyze the etiology of children with pneumonia mycoplasma infection complicated by convulsion and the treatment of febrile seizures in order to guide the clinical diagnosis and treatment. Methods Ninety-seven children with mycoplasma pneumoniae infection complicated with seizures admitted in our hospital from September 2009 to August 2012 were enrolled in this study. The treatment of febrile seizures by controlling seizures, controlling fever, etiological treatment and intensive nursing were recorded. The etiology of children were recorded. Results There were 57 cases (58.8%) of etiology, 19 cases (19.6%) of electrolyte disturbance, 10 cases (10.3%) of mycoplasma encephalitis, 7 cases of epilepsy (7.2%), other causes ), 4 cases (4.1%), some children convulsions are caused by many factors. After effective treatment, 57 cases of patients with febrile seizures were discharged, no epilepsy, mental decline and other sequelae. Conclusions The causes of convulsion in children with Mycoplasma pneumoniae infection mainly include febrile seizures, electrolyte imbalance, mycoplasma encephalitis and so on. The possible etiology should be considered comprehensively to prevent them from misdiagnosis and mistreatment.