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目的：了解小儿高热惊厥与血清钠浓度的关系。方法：对高热惊厥（观察组）、无抽搐的上呼吸道感染（对照组Ａ）和无热惊厥（对照组Ｂ）三类患儿，检测血清钠、ＣＲＰ、脑电图及脑ＣＴ，并对比分析。结果：观察组血清钠值低于对照组Ａ、Ｂ，有极显著性差异（Ｐ＜００１）；惊厥次数≥２次者中低血钠检出率高于惊厥１次者（Ｐ＜００１）。结论：高热惊厥患儿血清钠易降低，且下降越低，惊厥再发概率越高。对高热惊厥患儿监测血钠，入院后适当补充钠盐可能是预防惊厥反复发作的有益措施之一。
Objective: To understand the relationship between febrile seizures and serum sodium concentration. Methods: Serum sodium, CRP, electroencephalogram and brain CT were detected in three groups of children with febrile seizures (observation group), convulsive upper respiratory tract infection (control group A) and no febrile seizures (control group B) analysis. Results: The serum sodium level in the observation group was significantly lower than that in the control group A and B (P <001). The detection rate of moderate and severe sodium sedation in the observation group was higher than that in the first convulsion (P < 0 01). Conclusions: Serum sodium is decreased in children with febrile seizures, and the lower the decline, the higher the probability of recurrent seizures. Sodium hyperoxemia monitoring in children with febrile seizures, admission sodium may be one of the beneficial measures to prevent recurrent seizures.