论文部分内容阅读
一、病例选择:34例患儿均符合高热惊厥诊断指标,首发高热惊厥年龄在8月至2岁之间,全部病例有3次以上高热惊厥病史。惊厥发生在体温39℃以上者29例(85.3％),发生在38～39℃者5例(14.7％)。惊厥全部发生在发热开始后24小时内,其中28例惊厥发生在高热开始后12小时内,体温骤升之时。34例患儿在同一次疾病中,有27例仅发生过一次惊厥,且持续时间短暂,多为数秒至10分钟。二、方法与结果:患儿发热刚开始,体温在37.5℃时,立即给予安定片口服0.3mg/kg/次,同时根据体温的高度分别予以降温治疗,如安乃近滴鼻、口服阿斯匹林、安痛定肌注、酒精擦浴等,有效控制体温。间隔8小时后再第二次服相同剂量的安定片。经过1～1.5年的临床观察,34例患儿温度在37.5℃以上的发热共157次,使用口服安定片138次,观察期间高热惊厥复发11次,
First, the choice of case: 34 cases of children are in line with diagnostic criteria for febrile seizures, the first episode of febrile seizures between August and 2 years old, all cases have more than 3 febrile seizures. Convulsions occurred in 29 cases (85.3%) with body temperature above 39 ℃, and 5 cases (14.7%) occurred in 38 ~ 39 ℃. Convulsions all occurred within 24 hours of onset of fever, of which 28 cases of convulsions occurred within 12 hours of the onset of hyperthermia, when the temperature suddenly rose. Of the 34 children with the same disease, 27 had only one episode of seizures and had a short duration of much more than a few seconds to 10 minutes. Second, the method and results: Children with fever just started, body temperature at 37.5 ℃, immediately given diazepam orally 0.3mg / kg / time, at the same time according to the height of the body temperature to be treated separately, such as intrauterine nasal drops, oral Aspen Aspirin, intramuscular injection, alcohol rubbing bath, effective control of body temperature. An interval of 8 hours after the second dose of the same dose of stabilizer. After 1 to 1.5 years of clinical observation, 34 cases of children with fever over 37.5 ℃ for a total of 157 times, the use of oral stability tablets 138 times during the observation of recurrent febrile seizures 11 times,