小儿高热惊厥颅脑CT检查临床价值及其合理应用.docVIP

小儿高热惊厥颅脑CT检查临床价值及其合理应用 　【关键词】 小儿；高热惊厥；体层摄影术,X线计算机；外部性脑积水 　　［摘要］ 目的：探讨高热惊厥(FC)患儿颅脑CT检查的临床价值及其合理应用。方法：回顾性分析197例FC患儿的CT检查结果，并与102例外伤患儿对比。结果：197例FC患儿，单纯型142例，复杂型55例；CT异常14例(单纯型3例,复杂型11例)，占7.11％，外部性脑积水9例(单纯型2例,复杂型7例)，占4.57％。102例外伤患儿，外部性脑积水7例，占6.86％。FC组与外伤组外部性脑积水的差异比较无显著性意义，χ2=0.698,P＞0.05；单纯型与复杂型CT异常和外部性脑积水的差异比较有显著性意义，χ2=16.600和9.198,P＜0.01。结论：外部性脑积水并非FC患儿特有；FC患儿颅脑CT检查阳性率比较低，特别是单纯性FC，不应作为常规检查，复杂型FC，根据患者症状、体征及时进行颅脑CT检查评估有无大脑损伤或发育的情况。 　　［关键词］ 小儿；高热惊厥；体层摄影术，X线计算机；外部性脑积水 　　Diagnostic Value and Reasonable Use of CT for Febrile Convulsion in Children 　　WEI Yongnan 　　(The Affiliated Nanhai Maternity and Children Hospital of Guangzhou Traditional Chinese Medicine University，Foshan， Guangdong 528200,China) 　　Abstract:Objective To explore the diagnostic value and the reasonable use of CT for febrile convulsion in children.Methods Compare to 102 cases lightly craniocerebral trauma in children，the craniocerebral CT findings in 179 children with febrile convulsion were analyzed retrospectively.Results Among 197 cases,simple febrile convulsion(CFC)were detected in 142 cases,complicated febrile convulsion(CFC)in 55 cases;The abnormalities were detected in 14 cases(of them,3 cases in SFC,11 cases in CFC);Extraneous hydrocephalus(EH)were detected in 9 cases(of them,2 cases in SFC,7 cases in CFC).And EH were detected in 7 cases in the lightly craniocerebral trauma.The difference between EH of FC and craniocerebral trauma were not statistical significant(χ2=0.698,P＞0.05).The difference between abnormalities and EH of SFC and CFC were statistical significant(χ2=16.600 and 9.198,P＜0.01).Conclusion When febrile convulsion in children occur,CT can’t as routine examination,the indications of CT examinations should be carefully established depending on clinical symptoms and signs of the patients. 　　Key words：Children,Febrile convulsion;Tomography,Xray computed;Extraneous hydrocephalus 　　高热惊厥(Febrile convulsion,FC)是儿科常见的急症，发作时全身抽搐，不省人事，容易引起家长的恐慌，有的家长甚至不惜任何代价要求医生进行头颅CT等全面检查，颅脑CT检查也常常被临床医生采用。为了探讨颅脑