Clinical observation of neonatal seizures and first aid.docVIP

 PAGE \* MERGEFORMAT 9 Clinical observation of neonatal seizures and first aid [Keywords:] neonatal convulsions, care, first aid Neonatal seizures are common acute neonatal period, which is due to various causes of central nervous system dysfunction caused by a manifestation of neonatal symptoms often not typical, easily misdiagnosed and delayed treatment. If the emergency care properly, can cause irreversible brain damage, to serious social and family burden of .2001 to May 2009 and Child Health Hospital of Wuhan City Jiangxia neonatal intensive care unit received a total of 232 cases of neonatal seizures, accounting for 15.36% of newborns hospitalized over the same period . Clinical observation and now report the following emergency care experience. 1 Clinical data 1.1 General Information The group of 232 cases, male 156 cases, female 76 cases, 39 cases of preterm children, 180 cases of full-term children, 13 cases of expired products, weight 2 500 g 45 ,gt; = 4 000 g 12 cases, seizures starting age 1 110 patients, 62 patients with 1 to 3 days, 4 to 7 days in 25 cases, 35 cases 8 to 28 days. 1.2 cause convulsions 215 cases of non-infectious diseases, of which the majority of hypoxic ischemic encephalopathy, infectious diseases, 17 patients (Table 1. Table 1 cause of neonatal seizures of the age groups (slightly 1.3 seizure types 62 cases of small onset, 43 cases of multifocal clonic type, focal clonic type in 32 cases, 25 cases of myoclonic type, straight type in 7 cases, 63 cases of mixed type. 1.4 Treatment and prognosis Only 232 cases are to be scared, oxygen, diuretic dehydration, promote brain cell metabolism and symptomatic and supportive treatment, 229 patients were cured, gave up treatment in 1 case, 2 deaths, of which 109 cases were cured by high pressure oxygen treatment, follow-up without sequelae. 2 Clinical The clinical manifestations of neonatal seizures in infants and children with different symptoms of