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目的了解轻度胃肠炎伴婴幼儿良性惊厥(BICE)的临床特点。方法对2008年10月-2012年1月共收治62例BICE的临床资料,结合随访结果进行分析。结果 62例BICE,发病年龄在12～24个月占72.6%,中位数是13.2个月;其中男35例,女27例;52例在3 d内发生惊厥,惊厥持续时间均在5 min以内;51例在一次病程发作1～2次。出院后随访3～12个月,2例患儿腹泻时再次出现惊厥,所有患儿生长发育正常,无后遗症。结论 BICE多发生在12～24个月的婴幼儿,惊厥持续时间短,一次病程中绝大多数发作1～2次,预后良好,但尚需随访观察。
Objective To understand the clinical features of mild gastroenteritis with infantile benign convulsion (BICE). Methods The clinical data of 62 BICE patients were collected from October 2008 to January 2012, and the follow-up results were analyzed. Results 62 cases of BICE, the onset age of 12 to 24 months accounted for 72.6%, the median was 13.2 months; 35 males and 27 females; 52 cases of convulsions within 3 days, convulsions duration of 5 min ; 51 cases in a course of attack 1 to 2 times. Follow-up after discharge from 3 to 12 months, 2 cases of recurrent seizures in children with diarrhea, all children with normal growth and development, no sequelae. Conclusions BICE mostly occurs in infants and young children aged 12 to 24 months. The duration of convulsions is short. Most of the episodes occur in one or two episodes. The prognosis is good, but the follow-up observation is still needed.