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惊厥是新生儿期的常见症状。占活婴的0.5%,常反映有明显中枢神经损害,约50～60%死亡或留有后遗症。惊厥原因通常是多方面的,最常见的是窒息伴有代谢紊乱如低血糖、低血钙、低血镁和颅内出血,这些情况本身也可致惊厥。脑电图(EEG)在评价新生儿惊厥的预后价值方面各学派观点不一。本文通过随访新生儿惊厥症的45例足月儿和29例早产儿(平均孕龄36.4周),以了解EEG的预后意义。其平均随访年龄为33个月。惊厥病因:窒息53例(71.6%),脑室内-蛛网膜下出血13例(17.6%),代谢性4例
Convulsions are a common symptom in the neonatal period. Accounting for 0.5% of live infants, often reflecting significant damage to the central nervous system, about 50 to 60% of the death or left sequelae. The causes of convulsions are generally multifaceted, the most common being asphyxia with metabolic disturbances such as hypoglycemia, hypocalcemia, hypomagnesemia and intracranial hemorrhage, which in themselves can also cause convulsions. EEG varies from school to school in assessing the prognostic value of neonatal convulsions. In this study, 45 full-term infants with neonatal seizures and 29 premature infants (average gestational age 36.4 weeks) were followed to understand the prognostic significance of EEG. The average follow-up age was 33 months. The causes of convulsions: asphyxia in 53 cases (71.6%), intraventricular-subarachnoid hemorrhage in 13 cases (17.6%), metabolic 4