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一、发病情况:我院1991年1月至1992年5月,共收治入院患儿2080例,其中高热惊厥(FC)共88例(男61例,女27例),占同期患儿住院总数的4.2%,与国内外报道相符。二、临床资料 1.年龄:≤3岁者67例(其中<6个月者20例),>3岁者21例。最小者2个月,最大者7岁。 2.FC发作时体温:≥38.5℃ 38例(43.2%),≥39.5℃ 48例(54.5%),<38℃2例(2.3%)。FC距始发热时间≤4小时13例(14.8%),~12小时21例(23.9%)。~21小时28例(31.8%),~3天26例(29.5%)。 3.引起FC的发热性疾病:上呼吸道感染44例(50.0%),支气管炎26例(29.5%),肺炎14例(15.9%),急性胃肠炎2例(2.3%),其他2例。 4.家族史:14例有家族史记录,其一级亲属中有FC病史者13例(14.8%),有癫痫史者2例。三、治疗用药情况:治疗用药的原则是镇静、止惊、降温,在控制惊厥发作的同时,应重视对病因的治疗。FC发作时用冬非合剂(冬眠灵、非那根)58例(65.0%),安定9
First, the incidence: In our hospital from January 1991 to May 1992, a total of 2,080 admitted admitted children, including 88 cases of febrile seizures (FC, 61 males and 27 females), accounting for the same period the total number of hospitalizations 4.2%, in line with domestic and foreign reports. Second, the clinical data 1. Age: ≤ 3 years old in 67 cases (of which <6 months in 20 cases),> 3 years old in 21 cases. The smallest is 2 months and the oldest is 7 years old. 2.FC onset body temperature: ≥38.5 ℃ in 38 cases (43.2%), ≥39.5 ℃ in 48 cases (54.5%), <38 ℃ in 2 cases (2.3%). FC was 13 cases (14.8%) from onset of fever ≤ 4 hours and 21 cases (23.9%) in ~ 12 hours. 28 cases (31.8%) in 21 hours, 26 cases (29.5%) in ~ 3 days. 3. Fever caused by FC fever: upper respiratory tract infection in 44 cases (50.0%), bronchitis in 26 cases (29.5%), pneumonia in 14 cases (15.9%), acute gastroenteritis in 2 cases (2.3%) and other 2 cases . Family history: Fourteen cases had family history records. Among the first-degree relatives, there were 13 cases with history of FC (14.8%) and 2 cases with history of epilepsy. Third, the treatment of medication: The principle of treatment medication is calm, only shock, cooling, in the control of seizures at the same time, should pay attention to the treatment of the cause. Fifty-eight patients (65.0%) were treated with the combination of Dongfangling and Pinafor in FC attack