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热性惊厥病因诊断、治疗的研究进展(1)
http://www.100md.com 2020年2月1日 《中外女性健康研究》 20203
     【摘 要】 热性惊厥为儿童多发神经系统疾病,也为近年国内外研究热点。发病因素较为复杂,病理机制并未明确得到分析。虽然多数患者呈良性,且预后效果较好,但依然有众多问题需解决。除家长和患儿过度紧张和对疾病认识缺乏外,也存在过度治疗问题,因此需通过有效方式进行深入分析。本次主要从现阶段治疗方式的缺陷和病因诊断方面进行分析。结合近年疾病诊断和治疗经验,对整体发展过程进行总结梳理,为之后疾病治疗提供理论性支持。

    【关键词】 热性惊厥;诊断;治疗进展

    Advances in etiological diagnosis and treatment of febrile convulsions

    Zeng Lifen

    Pediatrics Department, Lingyun County People's Hospital, Baise, Guangxi 533199

    [Abstract] Febrile convulsion is a multiple neurological disorder in children, and it is also a hot research topic at home and abroad in recent years. The pathogenic factors are complex, and the pathological mechanism has not been clearly analyzed. Although most patients are benign and have good prognosis, there are still many problems to be solved. In addition to parents and children over-tension and lack of awareness of the disease, there are also problems of over-treatment, so it is necessary to conduct in-depth analysis through effective ways. This article mainly from the present stage of treatment deficiencies and etiological diagnosis analysis. Combining the experience of disease diagnosis and treatment in recent years, this paper summarizes the overall development process and provides theoretical support for disease treatment in the future.

    [Key words]Febrile convulsions; Diagnosis; Treatment progress

    熱性惊厥也被称之为高热惊厥,为小儿常见惊厥性疾病,多发于婴幼儿,5岁之后发病率会逐步降低。多数患儿发病因素和上呼吸道感染有关,少数和肠胃疾病、中耳炎有关。虽然多数患者预后状况良好,但依然会出现疾病反复,甚至出现成年后癫痫等问题。为提升疾病治疗效果需对疾病诊断和治疗方式进行深入分析。

    1 热性惊厥

    现阶段对此种疾病并无广泛定义和共识。有分析认为主要为年龄3~5岁儿童出现惊厥且伴随发热,但需排除无颅内感染引发。也有研究支持,主要为年龄在1岁之上,患儿出现惊厥伴发热,但需排除中枢神经系统感染和其它诱发惊厥因素[1]。我国主要将此种疾病定义为年龄3~5岁,体温38℃之上,突发惊厥,排除颅内感染、器质性病变引发的惊厥、代谢性疾病、有惊厥史患儿,即可判定为热性惊厥。综合多数学者分析后可知,主要将疾病划分为惊厥范畴,且不包括颅内病变和颅内感染所引发的惊厥。, http://www.100md.com(曾丽芬)
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