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[围产期脑损伤儿童感染性病因躯体病理学中的惊厥性疾病]

[Convulsive conditions in somatic pathology of infectious etiology in children with perinatal brain injury].

作者信息

Bondyrev A I, Mamed'iarov A M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(6):16-8.

PMID:1664573
Abstract

Convulsive conditions account for 69.8% out of the total number of patients admitted to the department of intensive care of the children's neurological hospital. In 25.3% (348 children) they first developed in the presence of somatic pathology of the infectious inflammatory genesis in children with perinatal brain injury. Acute somatic pathology (acute respiratory diseases, pneumonia, intestinal infections) dominated (n = 318). In all the children, convulsive seizures occurred in hyperthermia largely in early childhood. Apparently, in the majority of cases, perinatal injury alone was insufficient to precipitate seizures. However, the combined perinatal brain injury and an infectious disease form favourable conditions for the appearance of convulsive conditions in children. Therefore, to prevent them, of importance is the prophylaxis of both perinatal pathology and infectious diseases. The patients with convulsive conditions should be given combined treatment including anticonvulsants, antiinflammatory, antibacterial, detoxication and other drugs.

摘要

惊厥性疾病占儿童神经科医院重症监护病房收治患者总数的69.8%。其中25.3%(348名儿童)首次发病是在患有围产期脑损伤的儿童出现感染性炎症性病因的躯体疾病时。急性躯体疾病(急性呼吸道疾病、肺炎、肠道感染)占主导(n = 318)。在所有儿童中,惊厥发作大多发生在幼儿高热时。显然,在大多数情况下,仅围产期损伤不足以引发惊厥。然而,围产期脑损伤与传染病相结合为儿童惊厥性疾病的出现创造了有利条件。因此,为预防这些疾病,围产期病理和传染病的预防都很重要。患有惊厥性疾病的患者应接受包括抗惊厥药、抗炎药、抗菌药、解毒药和其他药物在内的联合治疗。

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