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目的探讨小儿轻中度腹泻引发惊厥的可能原因,并分析其预后。方法对夏邑县人民医院2006年10月至2009年10月收治的36例轻中度腹泻引发惊厥患儿的临床资料进行回顾性分析。结果本组所有患儿均伴有无热惊厥,神经系统检查和生化检查均正常;本组经抗病毒、补液、止惊等综合治疗3～7 d后全部治愈出院,没有出现癫痫样反复惊厥症状;随访到的患儿均无神经系统后遗症,预后良好。结论小儿轻中度腹泻是引发惊厥是儿科常见疾病,轮状病毒感染是引起肠道外神经系统并发症的可能原因,由于该病预后良好,不必再进行抗癫痫治疗。
Objective To investigate the possible causes of eclampsia in children with mild to moderate diarrhea and analyze the prognosis. Methods The clinical data of 36 children with mild to moderate diarrhea with eclampsia admitted from October 2006 to October 2009 in Xiayi County People’s Hospital were analyzed retrospectively. Results All patients in this group were accompanied by no febrile seizures, neurological examination and biochemical tests were normal; the group after antiviral, rehydration, only the shock and other comprehensive treatment of 3 ~ 7 d after the hospital were cured, no recurrence of epileptic seizures Symptoms; follow-up of children with no neurological sequelae, the prognosis is good. Conclusions Infantile mild to moderate diarrhea is a common pediatric disease caused by seizures. Rotavirus infection is a possible cause of extranodal neurological complications. Because of its good prognosis, it is no longer necessary to treat epilepsy.