小儿热性惊厥75例随访分析

目的 探讨小儿热性惊厥的相关因素.方法 对2002年12月～2005年12月本科收治的75例首次发作热性惊厥患儿的首发年龄、发作次数、发作时体温、持续时间、发病季节、伴随疾病、脑电图改变、治疗及转归等进行随访观察及研究.结果 热性惊厥患儿首次发病多见于6月龄～3岁,以7～9月发病率最高,62.7%的患儿发作一次,复发率为37.3%,FC的复发与首次发作时的年龄、体温、持续时间和FC分型、脑电图表现以及热性惊厥或癫痫家族史有一定的相关性.结论 热性惊厥的发生与年龄密切相关,有遗传倾向性,伴有危险因素者易复发且易转为癫痫,对首次发作患儿应进行危险因素评估,采取相应措施进行预防.

Follow-up analysis of children febrile convulsion:a report of 75 cases

Aim To investigate the correlation factor of children febrile convulsion(FC).Method Seventy-five cases of children with FC in our depatment from Dec,2002 to Dec,2005 were followed up and analyzed retrospectively.Results First attack of FC occurs mainly at the age between 6 months to 3 years.There is the highest attack rate during July to September 62.7% of patients,attack breaks out once,the recurrence rate is 37.3%.The recurrence of FC is relating with age,body temperature,persistence time at first attack,the type of FC,EEG and the family medical history of FC or epilepsy.Conclusion FC is closely correlated with age,and genetic predisposition.The cases with risk factors are easy to recur and turn to epilepsy.We should evaluate the risk factor at the fist attack of the children and take corresponding measures to prevent beforehand.