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在院自1991年1月~1994年11月的临床工作中,诊治了30例婴幼儿高热惊厥的患者,从发病到治疗,预后的过程中有一些亲身体会,现总结如下.1 临床资料①患儿年龄以6个月~3岁多见,本组病变中性别无差异,无明显季节性发病;②多数起病急骤,以惊厥时或惊厥后来诊,发作前无明显先兆症状,突然意识丧失,头向后仰,眼球固定、上翻,牙关紧闭,口吐白沫,面部、四肢肌肉呈阵挛性或强直性抽搐,拳头紧握,严重者颈项强直、角弓反张、青紫、大小便失禁等,发作时间不等,单纯局部肢体抽动较少见.本组病例中全身性发作28例,局部发作2例;③体温在38~41℃;④发作1次者24例,2次以上发
In the hospital from January 1991 to November 1994 in clinical work, diagnosis and treatment of 30 cases of infantile febrile seizures in patients with onset, treatment and prognosis of some of the process of experience, are summarized as follows.1 Clinical data ① Children aged 6 months to 3 years old more common in this group of patients with no significant difference in the disease, no significant seasonal incidence; ② most of the sudden onset to convulsions or seizures later diagnosis and treatment, no pre-episode onset of aura symptoms, sudden awareness Loss, head back, eye fixed, turned up, closed the mouth, foaming at the mouth, facial, limbs were clonic or tonic twitch muscle, fist clenched, severe neck stiffness, angle arch anti-Zhang, bruising , Incontinence, etc., the onset time ranging from simple local twitch less common in this group of patients with systemic seizures in 28 cases, 2 cases of local attack; body temperature at 38 ~ 41 ℃; ④ attack in 24 cases, 2 times more hair