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发热期间的低锌血症可能引发热性惊厥。

Hypozincemia during fever may trigger febrile convulsion.

作者信息

Izumi Y, Ishii K, Akiba K, Hayashi T

机构信息

Yamagata University School of Medicine, Department of Pediatrics, Japan.

出版信息

Med Hypotheses. 1990 May;32(1):77-80. doi: 10.1016/0306-9877(90)90073-n.

DOI:10.1016/0306-9877(90)90073-n
PMID:2190072
Abstract

Febrile convulsions are generally thought to be induced by metabolic changes during the rise-phase of body temperature. The mechanism by which convulsions are induced, however, is not fully elucidated. In this article, we propose a new hypothesis about the induction mechanism of febrile convulsions that takes into account the hypozincemia during fever. This hypozincemia activates the NMDA receptor, one of the glutamate family of receptors, which may play an important role in the induction of epileptic discharge.

摘要

热性惊厥通常被认为是由体温上升阶段的代谢变化所诱发。然而,惊厥的诱发机制尚未完全阐明。在本文中,我们提出了一个关于热性惊厥诱发机制的新假说,该假说考虑了发热期间的低锌血症。这种低锌血症会激活NMDA受体,它是谷氨酸受体家族中的一员,可能在癫痫放电的诱发中起重要作用。

相似文献

1
Hypozincemia during fever may trigger febrile convulsion.发热期间的低锌血症可能引发热性惊厥。
Med Hypotheses. 1990 May;32(1):77-80. doi: 10.1016/0306-9877(90)90073-n.
2
Management of febrile convulsion in children.儿童热性惊厥的管理
Emerg Nurse. 2015 May;23(2):18-25. doi: 10.7748/en.23.2.18.e1431.
3
Recognition and management of febrile convulsion in children.儿童热性惊厥的识别与处理
Nurs Stand. 2015 Aug 26;29(52):36-43. doi: 10.7748/ns.29.52.36.e9927.
4
Pathogenic role of glutamate in hyperthermia-induced seizures.
Epilepsia. 1993 May-Jun;34(3):447-52. doi: 10.1111/j.1528-1157.1993.tb02585.x.
5
Effect of fever on recurrence rate of febrile convulsions.发热对热性惊厥复发率的影响。
Arch Dis Child. 1990 Mar;65(3):333-4. doi: 10.1136/adc.65.3.333-c.
6
Hypozincaemia in febrile convulsion.热性惊厥中的低锌血症。
Eur J Pediatr. 1996 Jun;155(6):498-501. doi: 10.1007/BF01955189.
7
Recurrence rate of febrile convulsion related to the degree of pyrexia during the first attack.热性惊厥复发率与首次发作时发热程度的关系。
Clin Pediatr (Phila). 1986 Jun;25(6):311-3. doi: 10.1177/000992288602500606.
8
[Under what circumstances should antipyretics be used in children with febrile infections if there are no risk factors for febrile convulsions].如果没有热性惊厥的危险因素,在患有发热性感染的儿童中,应在什么情况下使用退烧药。
Kinderkrankenschwester. 1999 Sep;18(9):393.
9
[Febrile convulsions: assessment of current status].[热性惊厥:现状评估]
Schweiz Med Wochenschr. 1999 May 1;129(17):649-57.
10
Hyperthermia-induced seizures alter adenosine A1 and A2A receptors and 5'-nucleotidase activity in rat cerebral cortex.热诱导癫痫发作会改变大鼠大脑皮层中腺苷A1和A2A受体以及5'-核苷酸酶的活性。
J Neurochem. 2015 Aug;134(3):395-404. doi: 10.1111/jnc.13130. Epub 2015 May 13.

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2
Evaluation of selenium levels and mean platelet volume in patients with simple febrile convulsion.单纯性热性惊厥患者血清硒水平及平均血小板体积的评估
Iran J Pediatr. 2014 Aug;24(4):401-5. Epub 2014 Jul 2.
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Selenium and leptin levels in febrile seizure: a case-control study in children.
热性惊厥患儿的硒和瘦素水平:一项病例对照研究
Korean J Pediatr. 2013 Feb;56(2):80-5. doi: 10.3345/kjp.2013.56.2.80. Epub 2013 Feb 25.
4
Zinc in CSF of patients with febrile convulsion.热性惊厥患者脑脊液中的锌
Indian J Pediatr. 2002 Oct;69(10):859-61. doi: 10.1007/BF02723706.
5
Hypozincaemia in febrile convulsion.热性惊厥中的低锌血症。
Eur J Pediatr. 1996 Jun;155(6):498-501. doi: 10.1007/BF01955189.
6
Cerebrospinal fluid zinc concentrations in febrile convulsions.热性惊厥时脑脊液锌浓度
Arch Dis Child. 1995 Oct;73(4):338-41. doi: 10.1136/adc.73.4.338.