Children with febrile seizures of 65 cases.docVIP

 PAGE \* MERGEFORMAT 5 Children with febrile seizures of 65 cases [Keywords:] children; febrile convulsions; Analysis Fever is a common pediatric symptoms, seizures caused by a high fever is a common pediatric emergency, it can lead parents to panic, fear sequelae, it is timely and accurate first aid is important. Hospital in 1995-2008 a total of heat treatment 65 cases of convulsions in children, are as follows. 1 Clinical data 1.1 General Information of this group 65 patients, 41 males and 24 females; onset age of 6 months to 5 years old,gt; 3 years old in 3 cases. Causes: 46 cases of upper respiratory tract infection, enteritis in 6 cases, 13 cases of bronchial pneumonia. including family history of seizures and epilepsy, 13 cases had asphyxia at birth in 5 cases, 6 cases of premature children, the history of 4 cases of pathologic jaundice. 1.2 The clinical manifestations of this group of cases in the fever began to seizure timegt; 24h 45 , 24 ~ 48h 15 cases. Major attack in the form of generalized seizures in 57 patients, showed his eyes staring, lips cyanosis, loss of consciousness, was generalized tonic - clonic seizure; partial seizures in 8 cases; onset, body temperature 38.5 ~ 39.5 58 , 39.5 above 7; seizure time lt;5min 39 , 5 ~ 29min 24 ,gt; = 30min 2 cases (there was a consistent state); simple 58 cases, the complexity of 7 cases. 1.3 The laboratory normal range blood leukocytes of 58 cases, (10 ~ 20) 109 / L in 7 patients. EEG in 65 cases 53 cases of normal and abnormal in 12 cases. 1.4 treatment immediately supine, head to one side, to keep the airway patency, respiratory secretions sucked out when necessary, oxygen (nasal cannula oxygen 1 ~ 2L/min, oxygen mask 3L/min). Establishment of intravenous access, just as soon as possible shock, the preferred diazepam 0.1 ~ 0.3mg/kg, slow intravenous injection, speed 1mg/min, only disabled immediately after the shock, so as not to suppress breathing. the effect of poorly 30min, re