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目的分析轻度胃肠炎伴发良性婴幼儿惊厥(BICE)患儿起病至抽搐发作时间、抽搐发作次数、抽搐持续时间与血清钠及血浆渗透压水平变化情况。方法对2011年1月—2013年12月诊断为BICE患儿57例的临床资料进行回顾性分析。结果本组57例,男23例,女34例,年龄6~36个月,平均(18.5±6.5)个月。其中存在低钠血症(血钠<130mmol/L)19例,血钠130~135mmol/L的24例,低渗透压(渗透压<285mOsm/L)21例。起病至抽搐发作的时间<24h的6例,24~48h的23例,>48h的28例,平均2.4d。病程中的抽搐发作次数:发作1次42例,发作2次13例,发作3次2例。抽搐发作持续时间<1min 23例,持续1~5min 29例,持续>5min 5例。结论 BICE患儿的渗透压水平在不同的起病至抽搐发作时间及抽搐发作次数差异无统计学意义,而血钠水平差异有统计学意义。血钠、渗透压水平在不同的抽搐持续时间差异均有统计学意义。
Objective To analyze the changes of the incidence of seizure, the number of seizure episodes, the duration of seizure and the levels of serum sodium and plasma osmolality in children with mild gastroenteritis complicated with benign infantile convulsions (BICE). Methods The clinical data of 57 children with BICE diagnosed from January 2011 to December 2013 were analyzed retrospectively. Results The group of 57 patients, 23 males and 34 females, aged 6 to 36 months, with an average of (18.5 ± 6.5) months. There were 19 cases with hyponatremia (serum sodium <130mmol / L), 24 cases with serum sodium (130 ~ 135mmol / L) and 21 cases with low osmotic pressure (285mOsm / L). The time from onset to twitch episode was <24h in 24 cases, 24 to 48h in 23 cases,> 48h in 28 cases, with an average of 2.4d. The number of seizures in the course of the disease: 42 episodes of episodes, 2 episodes of 13 episodes, and 3 episodes of 2 episodes. Twitch attack duration of <1min 23 cases, continued 1 ~ 5min in 29 cases, lasting> 5min in 5 cases. Conclusions There was no significant difference in the osmotic pressure between BICE children with different onset of seizure and the number of seizure episodes, while the serum sodium level had statistical significance. Blood sodium, osmotic pressure levels in different twitch duration differences were statistically significant.