98例新生儿惊厥发病原因的临床分析与研究

目的探讨新生儿惊厥发病的临床诊断以及发病原因。方法采用资料回顾性分析的方法将于2010年1月至2011年1月入住我院妇产科发生惊厥的98例新生儿的临床资料进行回顾性分析,对本组患儿的发病原因以及临床特点、治疗转归加以分析与研究。结果通过上述方法的实施,可以得出如下结果:本组98例患者发生惊厥的主要原因表现在如下几点:缺血缺氧性脑疾病38例(占38/98=38.78%),颅内出血疾病33例(占33/98=33.67%),代谢性疾病27例(占27/98=27.55%);惊厥发生的主要类型为:微小型为66例(占66/98=67.35%),灶阵挛性为29例(占29/98=27.55%),局灶阵挛型为16例(占16/98=16.33%),强直型为12例(占12/98=12.24%);本组患者主要以微小型最为多见,肌阵挛型最少。结论由上述结果可以得出如下几个方面的结论:①引发新生儿惊厥发病的主要原因包括三个方面,即缺血缺氧性脑疾病、颅内出血疾病以及代谢性疾病;②新生儿生后一周之内,其惊厥发生率要远远高于一周之后,那么这就说明了新生儿发生惊厥在刚开始出生的时候比例比较高。

Clinical Analysis and Research on 98 Cases of Neonatal Seizures Cause of Disease

Objective To investigate the incidence of neonatal convulsion clinical diagnosis and pathogenesis. Methods The retrospective analysis method, from 20 1 0.01-2011.0 lin obstetrics and gynecology in our hospita198cases of neonatal convulsion were retrospectively reviewed the clinical data analysis, for this group of children＇s causes and clinical characteristics, treatment and outcome of analysis and research. Results Through the methods of implementation, we can come to the following results in this group of 98 patients with seizures occurring within the main reasons are as follows： in hypoxic ischemic brain disease in 38 cases （38/98=38.78% ）, intracranial hemorrhage disease of 33 cases （33/98= 33.67%）, metabolic diseases in 27 cases （27/98= 27.55%）; convulsions occurred the main types： small for 66 patients （66/98=67.35%）, focal clonic for 29 patients （29/98=27.55%）, focal clonic for 16 patients （16/98=16.33%）, tonic type for in 12 cases （12/98=12.24%）; this group of patients with small type is the most common type of at least, myoclonus. Conclusion The results can be drawn as follows： ①Cause of neonatal seizures a major cause of morbidity includes three aspects, namely the hypoxic ischemic brain disease, intraeranial bleeding disorders and metabolic diseases;②Neonates born after a week, the convulsion rate is much higher than a week later, then it explains.