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目的:试讨论新生儿惊厥的发病病因、临床表现、辅助检查、临床治疗及相应的预防措施。方法:对60例新生儿惊厥的患儿进行系统分析并总结。结果:新生儿惊厥病因复杂,病死率高,其中缺氧缺血性脑病是新生儿惊厥产生的主要原因,其次还包括颅内出血、低血糖等,同时易合并低血钙、低血钠等代谢紊乱;苯巴比妥钠可迅速有效控制惊厥发作。结论:警惕新生儿惊厥的发生,对于有产科异常病史的这类高危新生儿尤其要严密监控。新生儿惊厥一旦发生,应早期诊断,及时治疗,迅速控制症状,尽量避免严重后遗症的出现。围产期预防显得尤为重要。
Objective: To discuss the etiology, clinical manifestations, auxiliary examination, clinical treatment and corresponding preventive measures of neonatal convulsion. Methods: A total of 60 neonates with convulsions were systematically analyzed and summarized. Results: The etiology of neonatal convulsion is complex and the case fatality rate is high. Hypoxic-ischemic encephalopathy is the main cause of neonatal seizures, followed by intracranial hemorrhage and hypoglycemia, and also easily metabolizes hypocalcemia and hyponatremia Disorders; phenobarbital sodium can quickly and effectively control seizures. CONCLUSIONS: Be wary of the occurrence of neonatal seizures and, in particular, be closely monitored for such high-risk neonates with a history of obstetric anomalies. Neonatal convulsions in the event of an early diagnosis, timely treatment, rapid control of symptoms, try to avoid the emergence of serious sequelae. Perinatal prevention is particularly important.