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目的探讨轻度胃肠炎伴婴幼儿良性惊厥(BICE)的临床特征,以提高对本病的诊治水平。方法对东南大学医学院附属南京同仁医院收治的23例BICE患儿的临床资料、辅助检查结果及随访资料进行回顾性分析。结果 23例患儿惊厥多发生在胃肠道症状出现后1~3 d,发作次数(1.86±0.86)次,轮状病毒检测阳性20例(87.0%)、阴性(13.0%),经临床治疗后全部治愈,随访6~12个月,无惊厥发作。结论 BICE多发生于1~2岁幼儿,以9~12月份多发。惊厥均在病程3 d内发作,发作前大多有轻度轮状病毒胃肠炎,出院随访无惊厥复发,预后良好。
Objective To investigate the clinical features of mild gastroenteritis with infantile benign convulsion (BICE) in order to improve the diagnosis and treatment of this disease. Methods The clinical data, auxiliary examination results and follow-up data of 23 BICE patients admitted to Nanjing Tongren Hospital Affiliated to Southeast University Medical College were analyzed retrospectively. Results The seizures of 23 cases occurred in 1 ~ 3 days after gastrointestinal symptoms, the number of seizures (1.86 ± 0.86), rotavirus positive in 20 cases (87.0%) and negative (13.0%), After all the cure, followed up for 6 to 12 months, no seizures. Conclusions BICE occurs mostly in children aged 1 to 2 years and occurs frequently in September and December. Seizures were in the course of attack within 3 d, most of the pre-seizures mild rotavirus gastroenteritis, no recurrence of recurrence after discharge, the prognosis is good.