儿童惊厥 PPT精品课件.pptVIP

EEG Depicting Seizure CT 、MRI laboratory examinationX-ray of skull: laboratory examination Changes of CSF unfectious convulsion CSF routine biochemistry pressure，Appearance Cell, pandy’s test Suger Protein cloride etiology laboratory examination Changes of CSF Increased pressure， Subdural hematoma、intracranial tumors、 Normal or protein abscess of brain CSF Csf with blood: cerebral vascular accident（subarachnoid hemorrhage、injury of Lumbar puncture） BUN、 Ca++ Glu electrolure normal→blood biochemstry Normal: epilepsy, intoxication ,Apnea、 craniocerebral injury、tetanus ,regression disease of CNS BUN↑ disease of renal Abnormal Ca++↓tetany of VitD defficiency Glu hypoglycemia No-infection convulsion Psychogenic Non Epileptic Seizure differential diagnosis hysteria tic Gilles de la Tourette syndrome Rheumatic fever tarantism Anemia of big cells Fainting Low calcium convulsion Management of Seizures Keep quiet，decreasing stimulation２．Keeping smooth of respiratory tract３．Sucking oxygen４．Preventing bite Initial assessment Airway Breathing Circulation Call for help Hospitalist Neuro PICU/RRT convulsions in children The capital medical university affiliated Beijing tiantan hospital lecture content introduction etiology 、classification Diagnosis 、differential Diagnosis treatment introduction definition convulsions (sometimes called a grand mal seizure) ： A transient episode of abnormal and excessive neuronal activity in the brain that lead to a tonic-clonus tic in skeletal muscles, often accompanying with alteration in consciousness. Convulsion may continue seconds or minutes, even a few ten minutes. Often falling sleep after convulsion introduction definition a seizure Seizures are sudden temporary changes in physical movement or behavior caused by abnormal electrica