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儿科热性惊厥的管理。

Management of Pediatric Febrile Seizures.

机构信息

Pediatric Clinic, Department of Surgical and Biomedical Sciences, Università degli Studi di Perugia, Piazza L. Severi 1, 06132 Perugia, Italy.

出版信息

Int J Environ Res Public Health. 2018 Oct 12;15(10):2232. doi: 10.3390/ijerph15102232.

Abstract

Febrile seizures (FS), events associated with a fever in the absence of an intracranial infection, hypoglycaemia, or an acute electrolyte imbalance, occur in children between six months and six years of age. FS are the most common type of convulsions in children. FS can be extremely frightening for parents, even if they are generally harmless for children, making it important to address parental anxiety in the most sensitive manner. The aim of this review was to focus on the management of FS in the pediatric age. An analysis of the literature showed that most children with FS have an excellent prognosis, and few develop long-term health problems. The diagnosis of FS is clinical, and it is important to exclude intracranial infections, in particular after a complex FS. Management consists of symptom control and treating the cause of the fever. Parents and caregivers are often distressed and frightened after a FS occurs and need to be appropriately informed and guided on the management of their child's fever by healthcare professionals. Due to the inappropriate use of diagnostic tests and treatments, it is extremely important to improve the knowledge of pediatricians and neurologists on FS management and to standardize the diagnostic and therapeutic work-up.

摘要

热性惊厥(FS)是指在没有颅内感染、低血糖或急性电解质失衡的情况下发生的发热相关事件,发生在 6 个月至 6 岁的儿童中。FS 是儿童中最常见的惊厥类型。FS 可能会让父母感到非常恐惧,即使它对儿童通常是无害的,因此以最敏感的方式解决父母的焦虑情绪非常重要。本综述的目的是重点关注儿科 FS 的管理。文献分析表明,大多数 FS 患儿预后良好,很少出现长期健康问题。FS 的诊断是临床诊断,重要的是要排除颅内感染,特别是在复杂 FS 后。治疗包括症状控制和治疗发热的原因。FS 发作后,父母和照顾者通常会感到痛苦和恐惧,需要由医疗保健专业人员对他们进行适当的信息告知,并指导他们如何管理孩子的发热。由于不适当的使用诊断测试和治疗,儿科医生和神经科医生非常有必要提高对 FS 管理的认识,并规范诊断和治疗方法。

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