轻度胃肠炎伴良性婴幼儿惊厥147例临床剖析.docVIP

轻度胃肠炎伴良性婴幼儿惊厥147例临床剖析 　　[摘要] 目的 探讨轻度胃肠炎伴良性婴幼儿惊厥临床特点。 方法 回顾分析147例轻度胃肠炎伴良性婴幼儿惊厥患儿病例资料。 结果 轻度胃肠炎伴良性婴幼儿惊厥占全部住院肠炎患儿的6.8%，轮状病毒为最常见的病原体（44.2%），12～23月龄（46.9%）儿童为主要发病人群，冬春季（70.7%）高发，易发生在主要由祖父母照看（61.9%）及居住在市郊、农村（72.8%）的儿童；单次病程中惊厥发作次数以1～2次（80.3%）最为多见，绝大多数发作≤5min（83.0%），以全面发作（56.4%）为主。 结论 轻度胃肠炎伴良性婴幼儿惊厥大多数病例预后良好，少数病例有患儿有转化为癫痫的可能，需随访至少18个月。 　　[关键词] 轻度胃肠炎；婴幼儿；良性惊厥 　　[中图分类号] R725.7 [文献标识码] B [文章编号] 2095-0616（2016）20-73-04 　　Clinical analysis of 147 cases of benign infantile convulsions combined with mild gastroenteritis 　　HU Zehua HUANG Lingling HE Kangcheng LIANG Muhua 　　Department of Pediatrics，Dongguan Fifth Peoples Hospital，Dongguan 523900，China 　　[Abstract] Objective To discuss the clinical features of benign infantile convulsions combined with mild gastroenteritis（BICE）. Methods The clinical data of 147 children showing BICE were retrospectively analyzed. Results BICE cases accounted for 6.8% of total hospitalized children with enteritis， and rotavirus was the most common pathogen （44.2%）. The disease was mainly occurred among children age 12-23 months （46.9%）， who were mainly taken cared of by their grandparents （61.9%） and lived in the suburbs and rural areas （72.8%）， during winter and spring （70.7%）. In most cases （80.3%）， the attack frequency of convulsions was 1-2 times， most of which lasted for less than 5 minutes （83.0%）， and mainly performed as comprehensive attacks （56.4%）. Conclusion Most of the BICE cases obtains favorable prognosis， while there’s a possibility that a few of them might develop into epilepsy.Thus， at least 18 months of follow-up visits should be considered for them. 　　[Key words] Mild gastroenteritis；Infant；Benign convulsions 　　轻度胃肠炎伴良性婴幼儿惊厥（benign infantile convulsions associated with mild gastroenteritis，BICE）早些年被称之为轻度胃肠炎伴惊厥（convulsions with mild gastroenteritis，CwG），是6??月～ 3岁儿童常见的无热惊厥性疾病。CwG由日本学者Morooka于1982年首次提出[1]，此后，在亚洲国家及其他地区陆续见到CwG的报道，近年来，随着对BICE的研究增多，国内外关于BICE的研究报道也日趋增多。本研究对147例诊断为BICE的患儿临床表现及特点进行分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料