病毒性肠炎合并惊厥的血盐水平及脑脊液生化检查研究(1)
【摘要】 目的：探讨病毒性肠炎合并惊厥的血盐水平及脑脊液病毒生化检查结果。方法：回顾性分析本院2010年1月-2014年10月收治的病毒性肠炎合并惊厥患儿69例的临床资料，将惊厥可按照发作频率分为频繁性(>3次)惊厥组(22例)与非频繁性(<3次)惊厥组(47例)，按性质分为良性惊厥(52例)与非良性惊厥(17例)，比较频繁性惊厥与非频繁性惊厥、良性惊厥与非良性惊厥患儿的血盐水平及脑脊液病毒生化检查结果。结果：惊厥频繁患儿的低血钠、低血钾、低血钙、低血镁及脑脊液生化检查病毒阳性比例均显著高于惊厥非频繁患儿(P<0.05)；良性惊厥患儿体温、惊厥发作次数、惊厥持续时间及大便轮状病毒检查阳性率均显著低于非良性惊厥患儿(P<0.05)。结论：病毒性肠炎合并惊厥患儿中频繁性惊厥伴有低血钠、低血钾、低血钙、低血镁症状及脑脊液病毒感染，良性惊厥患儿的体温、惊厥发作次数、惊厥持续时间及大便轮状病毒检查阳性率均要低于非良性惊厥。
【关键词】 病毒性肠炎； 惊厥； 血盐水平； 脑脊液
, 百拇医药
The Research of Blood Salt Levels and CSF Biochemical in Viral Enteritis Merger Combined with Convulsions/YAN Pei-yu.//Medial Innovation of China，2015，12(16)：138-141
【Abstract】 Objective：To explore the blood salt levels and CSF biochemical in Viral enteritis combined with convulsions. Method：The clinical date of 69 children with viral enteritis merger and convulsions in our hospital from January 2010 to October 2014 were retrospectively analysed.They were divided into frequent seizures(≥3 times) group(22 patients) and non-frequent(<3 times) seizures(47 cases) group according to the seizures frequency，according to the nature they were divided into benign convulsions (52 patients) and non-benign convulsions (17 patients).Salt levels in blood and viral biochemical test results of cerebrospinal fluid were compared between Frequent seizures and non-frequent seizures，Benign convulsions and Non-benign convulsions.Result：Frequent seizures group were significantly higher than the non-frequent seizures group(P<0.05) and the Benign convulsions group were significantly lower than the Non-benign convulsions group (P<0.05) in the following aspects： The temperature， the number of seizures，duration of convulsions and the positive rate of rotavirus stool test in the Benign convulsions group were lower than that of the Non-benign convulsions group. Conclusion： Viral enteritis with frequent seizures convulsions is often accompanied by the symptoms of hyponatremia， hypokalemia， hypocalcemia， hypomagnesemia and viral infection of cerebrospinal fluid. The temperature， the number of seizures， duration of convulsions and the positive rate of rotavirus stool test in the Benign convulsions group were lower than that of the Non-benign convulsions group.
, 百拇医药
【Key words】 Viral enteritis； Convulsions； Blood salt levels； Cerebrospinal fluid
First-author’s address：Guangming New District Central Hospital of Shenzhen City，Shenzhen 518107，China
doi：10.3969/j.issn.1674-4985.2015.16.051
病毒性肠炎是婴幼儿时期最为常见的消化系统疾病，多发于秋冬季节[1]。报道显示病毒性肠炎多有轮状病毒感染所引发，病毒性肠炎发病后多数患儿将出现水、电解质及酸碱失衡，部分患儿出现惊厥[2-3]。惊厥是儿科常见的急症，发病前无任何先兆，若不进行有效控制将引发器官及组织缺氧，尤其是脑缺氧，进而导致器官及组织损伤，带来严重后遗症[4-5]。惊厥可按照发作频率分为频繁性惊厥(>3次)与非频繁性惊厥(<3次)。目前惊厥尚未作为一个独立的疾病被国内外学者普遍接受，我国对惊厥的研究较少，日本学者对婴幼儿惊厥进行了较为深入的研究，Komori等[6]将惊厥分为良性惊厥与非良性惊厥，该分型方法在国内关于婴幼儿惊厥报道中被广泛提及[7-8]。本文回顾性分析了本院收治的病毒性肠炎合并惊厥患儿69例的临床资料，按照发作频次及良性与非良性惊厥分类标准探讨了频繁性惊厥与非频繁性惊厥、良性惊厥与非良性惊厥患儿的血盐水平及脑脊液病毒生化检查结果，期望为临床上治疗病毒性肠炎合并惊厥提供一定的指导。, http://www.100md.com(严佩瑜)
【关键词】 病毒性肠炎； 惊厥； 血盐水平； 脑脊液
, 百拇医药
The Research of Blood Salt Levels and CSF Biochemical in Viral Enteritis Merger Combined with Convulsions/YAN Pei-yu.//Medial Innovation of China，2015，12(16)：138-141
【Abstract】 Objective：To explore the blood salt levels and CSF biochemical in Viral enteritis combined with convulsions. Method：The clinical date of 69 children with viral enteritis merger and convulsions in our hospital from January 2010 to October 2014 were retrospectively analysed.They were divided into frequent seizures(≥3 times) group(22 patients) and non-frequent(<3 times) seizures(47 cases) group according to the seizures frequency，according to the nature they were divided into benign convulsions (52 patients) and non-benign convulsions (17 patients).Salt levels in blood and viral biochemical test results of cerebrospinal fluid were compared between Frequent seizures and non-frequent seizures，Benign convulsions and Non-benign convulsions.Result：Frequent seizures group were significantly higher than the non-frequent seizures group(P<0.05) and the Benign convulsions group were significantly lower than the Non-benign convulsions group (P<0.05) in the following aspects： The temperature， the number of seizures，duration of convulsions and the positive rate of rotavirus stool test in the Benign convulsions group were lower than that of the Non-benign convulsions group. Conclusion： Viral enteritis with frequent seizures convulsions is often accompanied by the symptoms of hyponatremia， hypokalemia， hypocalcemia， hypomagnesemia and viral infection of cerebrospinal fluid. The temperature， the number of seizures， duration of convulsions and the positive rate of rotavirus stool test in the Benign convulsions group were lower than that of the Non-benign convulsions group.
, 百拇医药
【Key words】 Viral enteritis； Convulsions； Blood salt levels； Cerebrospinal fluid
First-author’s address：Guangming New District Central Hospital of Shenzhen City，Shenzhen 518107，China
doi：10.3969/j.issn.1674-4985.2015.16.051
病毒性肠炎是婴幼儿时期最为常见的消化系统疾病，多发于秋冬季节[1]。报道显示病毒性肠炎多有轮状病毒感染所引发，病毒性肠炎发病后多数患儿将出现水、电解质及酸碱失衡，部分患儿出现惊厥[2-3]。惊厥是儿科常见的急症，发病前无任何先兆，若不进行有效控制将引发器官及组织缺氧，尤其是脑缺氧，进而导致器官及组织损伤，带来严重后遗症[4-5]。惊厥可按照发作频率分为频繁性惊厥(>3次)与非频繁性惊厥(<3次)。目前惊厥尚未作为一个独立的疾病被国内外学者普遍接受，我国对惊厥的研究较少，日本学者对婴幼儿惊厥进行了较为深入的研究，Komori等[6]将惊厥分为良性惊厥与非良性惊厥，该分型方法在国内关于婴幼儿惊厥报道中被广泛提及[7-8]。本文回顾性分析了本院收治的病毒性肠炎合并惊厥患儿69例的临床资料，按照发作频次及良性与非良性惊厥分类标准探讨了频繁性惊厥与非频繁性惊厥、良性惊厥与非良性惊厥患儿的血盐水平及脑脊液病毒生化检查结果，期望为临床上治疗病毒性肠炎合并惊厥提供一定的指导。, http://www.100md.com(严佩瑜)