120例儿童急诊惊厥的病因分析及急救应对策略

目的 对儿童急诊惊厥的病因进行分析,并探讨儿童急诊惊厥的应对措施,以提高儿童急诊惊厥的诊疗水平.方法 对2015年1月至2016年5月本院接诊的120例儿童急诊惊厥病例进行回顾性分析,分析其发病原因及急救应对措施.结果 热性惊厥占44.17％,癫痫占16.67％,颅内感染占15.83％,以上是急诊惊厥患儿的主要病因;研究中仅有1例为家属不恰当的呼吸道护理导致吸入性肺炎,其余均无误吸、窒息情况发生;所观察病例惊厥均于1～5 min内得到控制,有2例惊厥持续状态患儿,经咪达唑仑持续泵入后得以控制;配合以病因治疗后急诊观察期无惊厥复发.结论 应结合患儿的年龄、病史、体征、辅助检查等快速的推断出惊厥的原因,急救时做好呼吸道管理并及时止惊最为关键,并随即做好病因治疗.

Etiological analysis and emergency response strategies of convulsion in 120 children

Objective To analyze the causes of children's emergency convulsion,and to discuss the measures of emergency treatment of convulsion in order to improve the diagnosis and treatment of children's emergency convulsion.Method 120 cases of pediatric emergency convulsion from January 2015 to May 2016 in our hospital were retrospectively analyzed,analyzed their causes and emergency response measures.Results Febrile convulsion accounted for 44.17％,epilepsy accounted for 16.67％,intracranial infection accounted for 15.83％,the above were major causes of emergency convulsion.There was only 1 case of aspiration pneumonia,caused by families' inappropriate respiratory tract nursing,there were no aspiration or asphyxia in the rest cases.Convulsion of observed cases was controlled within 1-5 minutes,there were 2 children with status convulsion,controlled by the continuous pumping of midazolam.Followed by the treatment on the causes of the disease,there was no the recurrence of convulsion during the emergency observation period.Conclusion Rapid inference of the causes of convulsion combined with children's age,medical history,physical signs,auxiliary examination,management of respiratory tract,and rapid control of convulsion are the most critical in emergency treatment.Then do the treatment on the causes of convulsion.