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目的研究轮状病毒肠炎伴婴幼儿良性惊厥的临床特点、治疗及预后。方法对22例2010年1月至2012年4月我院诊治的轮状病毒肠炎伴婴幼儿良性惊厥患儿的病史、辅助检查、治疗等做回顾性分析并进行随访研究。结果轮状病毒肠炎伴发婴幼儿良性惊厥患儿平均年龄(16±4)个月,每年10月至次年3月为发病高峰,首次惊厥好发于胃肠炎后3d内,发作类型以强直阵挛性发作最多,也存在强直发作形式。研究随访0.5～2年,因胃肠道症状再发抽搐者1例,所有随访患儿生长发育均良好,未使用抗癫痫药物。结论轮状病毒肠炎伴婴幼儿良性惊厥好发于1～2岁儿童,秋冬季好发,有再次复发可能,预后良好。
Objective To study the clinical features, treatment and prognosis of rotavirus enteritis with infantile benign seizures. Methods Twenty-two cases of rotavirus enteritis with infantile benign convulsion in our hospital from January 2010 to April 2012 were retrospectively analyzed and followed up. Results The average age of children with rotavirus enteritis associated with benign seizures in infants and young children was (16 ± 4) months. The peak incidence was from October to March in each year. The first convulsion occurred in the first 3d days after gastroenteritis. Tonic clonic seizures up to, there are also forms of tonic attacks. Study follow-up 0.5 to 2 years, 1 case of recurrent seizures due to gastrointestinal symptoms, all children were followed up good growth and development, did not use anti-epileptic drugs. Conclusions Rotavirus enteritis and infantile benign seizures occur in children aged 1 ~ 2 years old. It is prone to recurrence in autumn and winter, and has a good prognosis.