Autret-Leca E, Ployet J L, Jonville-Bera A P
Service de pédiatrie, centre hospitalier régional universitaire, 2, boulevard Tonnellé, 37044 Tours, France.
Arch Pediatr. 2002 Jan;9(1):91-5.
Information and reassurance of parents are essential before considering therapeutic measures following a first febrile seizure. It must be emphasized that, although impressive, febrile convulsions are essentially benign, and that in the majority of cases there will be no recurrence. Apart from that, therapeutic measures are of limited efficacy in order to prevent reocurrence. The correct use of antipyretic treatment during febrile episodes must be specified. Due to its several inconveniences, oral diazepam as an intermittent prophylaxis should be only considered in case of multiple reoccurrences. There is little place for continuous anticonvulsant treatment.
在考虑首次热性惊厥后的治疗措施之前,向家长提供信息并给予安慰至关重要。必须强调的是,热性惊厥虽然令人印象深刻,但本质上是良性的,而且在大多数情况下不会复发。除此之外,为预防复发而采取的治疗措施效果有限。必须明确在发热期间正确使用退热治疗。由于口服地西泮存在诸多不便,仅在多次复发的情况下才应考虑将其作为间歇性预防用药。持续抗惊厥治疗几乎没有必要。