论文部分内容阅读
我院于1992年7月～1994年12月收治新生儿惊厥48例,其中男26例,女22例。日龄<3天34例,4～7天10例。>7天4例。有窒息史18例,羊水混浊11例,脐带绕颈3例,不洁接生史5例,产钳或胎吸产16例。病因:HIE26例,颅内出血、低血钙各6例,破伤风5例,败血症4例,脑膜炎1例。临床表现:所有患儿除惊厥外,合并青紫14例,凝视6例,尖叫16例,屏气10例,前囟饱满12例,苦笑面容、牙关紧闭5例。腰穿1例为化脑改变,2例找到皱缩红细胞。血钙<1.87mmol/L6例,血培养4例阳性。脑CT检
Our hospital from July 1992 to December 1994 admitted 48 cases of neonatal convulsions, including 26 males and 22 females. Days of <3 days in 34 cases, 4 to 7 days in 10 cases. > 7 days in 4 cases. There were 18 cases of asphyxia history, 11 cases of amniotic fluid opacity, cord around the neck in 3 cases, unclean birth history in 5 cases, forceps or fetus abortion in 16 cases. Etiology: 26 cases of HIE, intracranial hemorrhage, hypocalcemia in 6 cases, tetanus in 5 cases, 4 cases of sepsis, meningitis in 1 case. Clinical manifestations: In addition to convulsions in all children, the merger bruising in 14 cases, stare in 6 cases, screaming in 16 cases, breath holding in 10 cases, full of anterior fontanelle in 12 cases, smile face, teeth closed in 5 cases. Waist wear 1 case of brain changes, 2 cases of wrinkled red blood cells found. Blood calcium <1.87mmol / L6 cases, 4 cases of blood culture positive. Brain CT examination