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婴幼儿低钙性抽搐是儿科较常见的一种急症.1983～1992年我科共收治216例,占10年抢救病人数(596)的36.24%,其中资料较全者80例.报告如下.1 临床资料1.1 一般资料 80例中.男45例、女35例、男:女为1.3:1.年龄:<7天4例.～1个月5例,～3个月36例.～6个月20例.～1岁8例.～2.5岁3例.～3岁4例.6个月以内65例、占81.25%.发病季节1～3月26例.4～6月19例、7～9月10例,1O～12月25例.喂养情况 人工喂养27例.混合喂养18例.母乳喂养35例均未添加辅食.并存症 Ⅰ～Ⅱ度营养不良5例,发育过剩8例.体征 有明显佝偻病体征35例、颅骨软化症14例、伴喉喘鸣4例.佛斯特氏征阳性12例,膝腱反射亢进50例.有佝偻病体征者均未规则治疗.诱因 气管炎、肺炎17例,肠炎9例.上感47例;无明显感染7例.体温37℃～38℃65例、38.1℃～38.5℃8例.7例无发热.临床表现 惊厥65例.喉痉挛8例、手足搐搦7例;喉痉挛者均为2个月内婴儿.手足搐搦者均为1岁以上小儿.
Infantile hypocalciuric convulsions is a more common pediatric emergency .1983 ~ 1992 years, our department received a total of 216 cases, accounting for 10% of the number of rescue patients (596), 36.24%, of which 80 were more complete. 1 Clinical data 1.1 General information 80 cases, 45 males and 35 females, males and females was 1.3: 1. Age: <7 days in 4 cases. ~ 1 month in 5 cases, ~ 3 months in 36 cases. Months in 20 cases. ~ 1 year old in 8 cases. ~ 2.5 years in 3 cases. ~ 3 years in 4 cases .6 months to 65 cases, accounting for 81.25% .In the season of onset from January to March 26 cases .4 months to 6 months in 19 cases, July to September 10 cases, 1O ~ December 25 cases of feeding 27 cases of artificial feeding, mixed feeding 18 cases of breastfeeding were not added 35 cases of complementary foods. Complications Ⅰ ~ Ⅱ degree of malnutrition in 5 cases, over-development in 8 cases .The signs of rickets were obvious in 35 cases, skull softening in 14 cases, with throat wheezing in 4 cases.Foster’s sign was positive in 12 cases, knee tendon hyperreflexia in 50. There is no rickets disease signs were treated regularly. , Pneumonia in 17 cases, enteritis in 9. Infection on the 47 cases; No significant infection in 7. Temperature 37 ℃ ~ 38 ℃ 65 cases, 38.1 ℃ ~ 38.5 ℃ 8 cases .7 cases without fever. Clinical manifestations convulsions in 65 cases. Laryngeal spasm 8 cases, convulsions 7 cases; laryngospasm were 2 months baby Convulsions in children who are more than 1 year old.