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目的探讨轮状病毒肠炎并惊厥26例临床特点及治疗体会。方法研究对象为2009年7月~2012年7月我院收治的26例轮状病毒肠炎合并惊厥患儿,分析患儿的临床症状及体征、实验室检查结果,探讨治疗体会。结果 26例患儿均表现为轮状病毒肠炎典型消化道症状,26例伴呕吐、腹泄;22例患儿具有惊厥典型症状;5例患儿为无热惊厥,9例患儿为热性惊厥,发热可达39℃~40℃;无明显阳性体征。所有患儿血常规显示白细胞均无升高,便常规示脂肪球+++/LP,轮状病毒抗原阳性,电解质生化正常,脑电图正常。经抗病毒、保护胃肠黏膜、调节肠道菌群、调整饮食等综合治疗2周后26例患儿均痊愈出院,出院后无再惊厥病例。结论小儿轮状病毒肠炎并惊厥的临床诊治要围绕着消化道表现、神经系统表现及辅助检查结果进行全面判断,采取综合治疗方案,才能有效提高治疗效果,避免出现再惊厥。
Objective To investigate the clinical features and treatment of rotavirus enteritis and convulsion in 26 cases. Methods From July 2009 to July 2012, 26 children with rotavirus enteritis complicated with convulsion who were admitted to our hospital from January 2009 to July 2012 were enrolled in this study. Their clinical symptoms, signs and laboratory findings were analyzed. Results Twenty-six patients showed typical gastrointestinal symptoms of rotavirus enteritis, 26 with vomiting and diarrhea, 22 with typical symptoms of convulsion, 5 with no febrile seizures, and 9 with fever Convulsions, fever up to 39 ℃ ~ 40 ℃; no significant positive signs. All children with blood showed no leukocytes increased, they often show fat globule +++ / LP, rotavirus antigen positive, electrolyte biochemistry is normal, normal EEG. After antiviral, protective gastrointestinal mucosa, regulating intestinal flora, diet and other comprehensive treatment of 26 weeks after the completion of the treatment of 26 patients were discharged, no further convulsions after discharge. Conclusion The clinical diagnosis and treatment of pediatric rotavirus enteritis and convulsion should be based on a comprehensive assessment of gastrointestinal manifestations, neurological manifestations and laboratory findings. Comprehensive treatment regimens can effectively improve the therapeutic effect and prevent recurrence of seizures.