新生儿惊厥80例临床分析

目的 探讨新生儿惊厥的病因、临床表现的特点和急救措施.方法 对我院80例新生儿惊厥的临床资料和急救措施的有效性进行分析总结.结果 新生儿惊厥的病因顺位依次是新生儿缺氧缺血性脑病37例、颅内出血16例、新生儿化脓性脑膜炎13例,此3种病因占全部病例的82.5%.惊厥发作类型以轻微型为主,占61%.结论 减少新生儿惊厥的关键是做好围产期保健,积极防止新生儿缺氧缺血性脑病的发生:新生儿轻微型惊厥在临床上不易被发现,需密切观察,及时诊治;止痉药首选苯巴比妥钠静脉推注,无效者改用苯妥英钠治疗.

Clinical Analysis of 80 Newborn Convulsion

Objective Discussing the causes of newborn convulsion, clinical manifestation and emergency rrearment. Method Analyzing and summatizing the clinical data of 80 examples of the newborn suffering from convuisions and the effectiveness of the emergency treatmont. Results The sequence of the newborn convulsion causes is following: the newborn anoxic ischemic encephalopathy is 37 examples: the intracranial hemorrhage is 16 examples: the newborn purulent meningitis is 13 examples. The three above causes count for 82.5 percent of the total examples. The type of convulsion attack remains minimai-orionted, counting for 61 percont. Conclusions The Key point to reducing the condition is serving a good pcrinatal care, try to prevent the attack of the newborn anoxic ischemic encephalopathy. It is difficult to find the newborn minimal convulsion, which needs the close observation and timely diagnose and treament. The first choice for this condition is the Phenobarbital sodium. The non-responder can use dilantin sodium instead.