高热惊厥患儿血清钠水平变化的研究

目的：探讨高热惊厥患儿血钠值的变化,为防止再次惊厥以及在高热惊厥的救治中应该注意的问题提出建议。方法：对120例高热惊厥患儿血清钠浓度变化进行回顾分析。结果：在120例高热惊厥患儿中,发生低血钠的为46例,发生比例为38.3%。在发生2次及2次以上惊厥的26例患儿中,发生低血钠的20例,发生率为76.9%。惊厥持续时间〈10min 101例,发生低血钠的占29例,≥10min 19例,发生低血钠的占17例。结论：发生热性惊厥的患儿中,常存在低钠血症,与惊厥次数及持续时间关系密切。因此,在救治高热惊厥时,要注意补充钠,以维持内环境的稳定,并可在一定程度上防止再次发生惊厥。

A study of serum sodium level change in children with febrile seizures

Objective：To investigate serum sodium level change in children with febrile seizures,thus to put forward suggestions of precautions against the recurrence of febrile seizure and problems need attention in the rescue of febrile seizure patients.Methods：Retrospective analyzed of serum sodium concentration change in 120 cases of febrile seizures in children was performed.Results：In 120 cases of children with febrile seizures,46 cases showed hyponatremia,with incidence of 38.3%.In the 46 cases with more than 2 times of convulsion,hyponatremia occurred in 20 patients,with incidence of 76.9%.There were 29 cases of hyponatremia in the 101 cases with seizure duration shorter than 10 minutes and 17 cases in the 19 cases with seizure duration of or longer than 10 minutes.Conclusion：Hyponatremia is often the concurrent symptom of febrile seizures in children,and is closely related with the times and duration of seizure attack.Therefore,in the treatment of febrile seizures,sodium should be supplemented in order to maintain a stable internal environment,and to some extent,to prevent the recurrence of convulsions.