目的通过分析小儿惊厥的发生、发展及转归,为临床提供有价值的诊治措施。方法对93例惊厥患儿的发病情况、病因、临床表现以及治疗、转归等进行分析和总结。结果 93例中,6个月～3岁婴幼儿共63例(67.7%);病因复杂,多数有发热,发作时或发作后体温≥38.5℃56例(60.2%);临床可有大发作、细微发作、惊跳、烦躁不安等多种表现;止惊剂首选地西泮,新生儿首选苯巴比妥钠,42例(45.2%)于入院当日止惊,76例(81.7%,含当日止惊者)于3d内止惊,用止惊剂平均1～5次;使用单种止惊剂共57例(61.3%),联合或交替使用止惊剂者36例(38.7%)。原发病治愈85例,好转8例,治愈好转率100%,93例患儿全部抢救成功,无1例死亡。结论小儿惊厥以婴幼儿最多,可由多种病因引起,发热为最常见诱因,惊厥的临床表现差异较大,而及时吸氧、正确使用止惊药物及时控制惊厥、治疗原发病是重要治疗措施。 Objective By analyzing the occurrence, development and outcome of pediatric convulsions, it provides valuable clinical diagnosis and treatment measures. Methods 93 cases of children with convulsion onset, etiology, clinical manifestations and treatment, prognosis, etc. were analyzed and summarized. Results Among the 93 cases, 63 (67.7%) infants aged 6 months to 3 years old had complicated etiology, most had fever, the temperature was 38.3 ℃ or 56.5% (60.2%) after the onset or onset, 42 cases (45.2%) were hospitalized on the day of admission, and 76 cases (81.7% on the day of admission) were diagnosed with diazepam and phenobarbital. In the first 3 days, the average amount of antidotal agents was 1 to 5 times. A single antidotal agent was used in 57 cases (61.3%), and only 36 cases (38.7%) were used in combination or alternation. The primary disease was cured in 85 cases, improved in 8 cases, the cure rate was 100%, 93 cases of children were all rescued successfully, no one died. Conclusion Infantile seizures in infants and young children can be caused by a variety of causes, the most common cause of fever, convulsions of the clinical manifestations of different, and timely oxygen, the proper use of anti-shock drugs and timely control of seizures, the treatment of primary disease is an important treatment .