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目的:探讨西宁地区新生儿惊厥的相关因素,有效控制惊厥的发作,减少后遗症。方法:对西宁地区地处海拔2 260m 142例新生儿惊厥患儿的临床资料进行分析总结。结果:西宁地区新生儿惊厥病因首位的是新生儿缺氧缺血性脑病67例(47.2%),发病时间多在生后3天内,其次是颅内出血28例,低钙惊厥16例,这三种病因导致的惊厥病例占全部病例的78.2%。惊厥发作类型以轻微型为主87例。结论:早期发生惊厥者主要与围产期窒息有关,本组以缺氧缺血性脑病占首位,由此强调加强围产期保健,提高产科技术,降低高原缺氧环境对新生儿的不良影响。
Objective: To explore the related factors of neonatal convulsion in Xining, effectively control the seizure and reduce the sequelae. Methods: The clinical data of 142 infants with neonatal convulsion in 2 260 m altitude in Xining were analyzed and summarized. Results: The first cause of eclampsia in Xining was neonatal hypoxic ischemic encephalopathy in 67 cases (47.2%), the onset time was more than 3 days after birth, followed by intracranial hemorrhage in 28 cases, 16 cases of hypocalcemia, the three The causes of seizures accounted for 78.2% of all cases. Convulsions type of slight type 87 cases. Conclusion: Early convulsions are mainly associated with perinatal asphyxia, this group with the first place of hypoxic-ischemic encephalopathy, which emphasizes strengthening perinatal care, improve obstetric skills and reduce the adverse effects of neonatal hypoxia on the plateau .