Rantala Heikki, Uhari Matti
Oulun yliopisto, lastentautien klinikka 90014 Oulun yliopisto.
Duodecim. 2009;125(24):2704-8.
In cases involving a febrile child having convulsions, the possibility of infections of the central nervous system should be considered and the necessary diagnostic investigations performed. If the febrile convulsion does not end by itself in five minutes, it will be treated as an epileptic seizure. Recurrences cannot be prevented by current treatments. Antiepileptic drugs should not be used, because their adverse effects are larger than the benefit. Antipyretics are not helpful in the prevention of seizures. An essential part of the treatment is informing and reassuring the parents.
在涉及发热儿童惊厥的病例中,应考虑中枢神经系统感染的可能性,并进行必要的诊断性检查。如果热性惊厥在五分钟内未自行终止,将按癫痫发作进行治疗。目前的治疗方法无法预防复发。不应使用抗癫痫药物,因为其不良反应大于益处。退烧药对预防惊厥没有帮助。治疗的一个重要部分是告知家长并使其安心。