379例新生儿惊厥病因分析

目的:通过分析新生儿惊厥病因,探讨防治措施并提出相应对策。方法:对379例惊厥新生儿进行病因分析。结果:脑炎脑膜炎(128例,占33.8%)、婴儿痉挛(57例,占15.0%)、新生儿缺氧缺血性脑病(42例,占11.1%)、新生儿颅内出血(31例,占8.2%)及新生儿破伤风(26例,占6.9%)列新生儿惊厥病因前5位。在各种疾病的致病因素中,生产因素(包括产前、产时因素)占22.2%,后天因素占45.1%,遗传因素占4.2%,原因不明占3.4%。结论:认真做好优生优育工作,加强产前检查,提高产科质量,对高危儿要早期诊断,早期干预。

The causes analysis of 379 cases neonatal convulsion

Objective:To explore the causes of neonatal convulsion to provide scientific prevention and treatment guidance.Methods:The diseases causes of 379 cases of neonatal convulsion were analyzed.Results:Encephalitis meningits(128 cases,33.8%),infantile spasms(57 cases,15.0%),hypoxic-ischemic encephalopathy of the newborn(42 cases,11.1%),intracranial haemorrhage of the newborn(31 cases,8.2%),neonatal tetanus(26 cases,6.9%) were among the best of the first five places of the causes of neonatal convulsion.Among them the procreated element(including antenatal and delivery) accounts for 22.2%,the acquired element accounts for 45.1%,the heritable accounts for 4.2%,cryptogeticness accounts for 3.4%.Conclusion:We should carry out the propagation of excellent delivery,strengthen the examination of antenatal,improve the quality of obstetric,earlier examine and intervene for the high risk infant.