在二级医疗保健机构的“癫痫发作、昏厥及短暂异常发作”门诊所做出的诊断。
Diagnoses made in a secondary care "fits, faints, and funny turns" clinic.
作者信息
Hindley D, Ali A, Robson C
机构信息
Fairfield General Hospital, Bury, UK.
出版信息
Arch Dis Child. 2006 Mar;91(3):214-8. doi: 10.1136/adc.2004.062455.
AIMS
To investigate the diagnoses made for children referred to a "fits, faints, and funny turns" clinic.
METHODS
Prospective study of 380 children referred to a dedicated secondary care clinic over an eight year period.
RESULTS
Twenty three per cent of children were given a final diagnosis of one of the childhood epilepsies, with 48% of these having a specific epilepsy syndrome. Syncope was the commonest cause of a non-epileptic event (syncope and reflex anoxic seizures comprised 100/238, 42%) but there were a wide variety of other causes. Fifty three events (14%) were unclassified and managed without a diagnostic label or treatment.
CONCLUSIONS
In children with funny turns referred to secondary care, the diagnostic possibilities are numerous; among non-epileptic events, syncopes predominate. The majority do not have epilepsy. Unclassifiable events with no clear epileptic or non-epileptic cause are common and can be safely managed expectantly.
目的
调查转诊至“抽搐、昏厥及异常发作”门诊的儿童的诊断情况。
方法
对八年间转诊至一家专门的二级护理门诊的380名儿童进行前瞻性研究。
结果
23%的儿童最终被诊断为儿童癫痫之一，其中48%患有特定的癫痫综合征。晕厥是最常见的非癫痫性事件原因（晕厥和反射性缺氧发作占100/238，42%），但还有多种其他原因。53起事件（14%）未分类，在没有诊断标签或治疗的情况下进行处理。
结论
转诊至二级护理的有异常发作的儿童，诊断可能性众多；在非癫痫性事件中，晕厥占主导。大多数儿童没有癫痫。没有明确癫痫或非癫痫病因的无法分类的事件很常见，可以安全地进行观察处理。
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