Waaler P E, Pedersen S J, Sommerfelt K
Barneklinikken, Haukeland sykehus, Bergen.
Tidsskr Nor Laegeforen. 1991 Apr 20;111(10):1226-9.
During the period from 25 October 1988 to 13 June 1989, 624 (13.9%) of the 4,464 outpatients examined in the pediatric department, Haukeland hospital, had neurological problems. In 1986 730 (19.1%) of the 3,829 patients admitted to the pediatric department of nerological disorders. 41 (11%) of the 374 patients admitted to the department of neonatology in 1986 had disorders of the central nervous system (infections excepted). About 40% of the neurological patients suffered from convulsive disorders. Other groups of disorders were developmental retardation, learning disorders, cerebral palsy, mental retardation, hyperactivity, headache, infections and parainfectious diseases, intracranial tumours, hydrocephalus, spina bifida, chromosomal disorders, metabolic diseases, various syndromes and malformations, neuromuscular disorders, functional symptoms and neonatal neurological problems. The practice of child neurology is timeconsuming. The paediatric neurologist must be acquainted with children's developmental problems and the patterns of neurological symptoms seen in the various age groups. Assembling children with neurological disorders in a small, special department might improve the treatment of these patients considerably.
1988年10月25日至1989年6月13日期间,豪克兰德医院儿科检查的4464名门诊患者中有624名(13.9%)存在神经问题。1986年,3829名入住儿科神经疾病科的患者中有730名(19.1%)。1986年,374名入住新生儿科的患者中有41名(11%)患有中枢神经系统疾病(感染除外)。约40%的神经疾病患者患有惊厥性疾病。其他疾病组包括发育迟缓、学习障碍、脑瘫、智力障碍、多动、头痛、感染和感染后疾病、颅内肿瘤、脑积水、脊柱裂、染色体疾病、代谢疾病、各种综合征和畸形、神经肌肉疾病、功能性症状和新生儿神经问题。儿童神经科的工作很耗时。儿科神经科医生必须熟悉儿童的发育问题以及不同年龄组出现的神经症状模式。将患有神经疾病的儿童集中在一个小型专科科室可能会大大改善对这些患者的治疗。