[摘要] 目的探讨小儿腹泻病伴惊厥的原因。方法对腹泻病伴惊厥的40例住院患儿的临床资料进行回顾性分析。结果高热惊厥19例,低钙血症3例,低镁血症1例,低钠血症4例,高钠血症2例,中枢病变3例,低血糖1例,不当补液所致3例,另有4例病因不明。结论儿童腹泻病伴惊厥原因多样,与高热、电解质紊乱、中枢病变等有关,也有部分为轻度胃肠炎伴良性婴幼儿惊厥。同时也存在医源性因素尤为要值得注意。

    [关键词] 腹泻病;惊厥;小儿

    [中图分类号] R72[中图分类号] A[文章编号] 1673-9701(2009)24-84-02

    Research on 40 Cases Convulsions Associated with Children’s DiarrheaZENG Yu

    Department of Pediatric,liangang Hospital of Loudi,Loudi,Hunan,417009,China

    [Abstract] ObjectiveTo explore the causes of convulsions associated with children’s diarrhea. Methods40 children’s diarrhea accompanied seizures were analyzed. ResultsThere were febrile convulsion 19 cases,hypocalcemia 3 cases,hypomagnesium 1 cases,hyponatrium 4 cases,hypernatrium 2 cases,cranial diseases 3 cases,hypoglycemia 1 cases,erroneous liquid therapy 3 cases,undefined cause 4 cases. Conclusion Children’s diarrhea accompanied seizures were caused by many facts,e.g. fever,electrolyte or acid-base disorders,cranial diseases and infantile convulsions associated with mild gastroenteritis. The iatrogenic factors need extra care for. ......