Hirtz D G, Lee Y J, Ellenberg J H, Nelson K B
Am J Dis Child. 1986 Sep;140(9):909-14. doi: 10.1001/archpedi.1986.02140230079037.
A survey regarding the management of the child with febrile seizures was mailed to 10 000 child neurologists, neurologists, pediatricians, and family and general practitioners. The response rate varied by specialty; overall, slightly more than half the physicians responded. One third or less of physicians prescribed anticonvulsive therapy only at the time of febrile illness, although this practice was much less common among recent graduates. If children had lengthy or focal seizures, the majority of physicians in all specialties either prescribed long-term treatment or referred for consultation. Long-term daily anticonvulsant therapy was prescribed most frequently by child neurologists and least often by general practitioners, who most often referred for consultation. Rate of hospitalization also differed according to specialty. The results of the survey indicate that the management of a child with febrile seizures may differ depending on the specialty of the attending physician.
一项关于热性惊厥患儿管理的调查被邮寄给了10000名儿童神经科医生、神经科医生、儿科医生以及家庭医生和全科医生。回复率因专业不同而有所差异；总体而言，略超过一半的医生进行了回复。三分之一或更少的医生仅在发热疾病发作时开具抗惊厥治疗药物，不过这种做法在刚毕业的医生中不太常见。如果儿童出现长时间或局灶性惊厥，所有专业的大多数医生要么开具长期治疗药物，要么建议进行会诊。儿童神经科医生最常开具长期每日抗惊厥治疗药物，而全科医生最常建议会诊，开具此类药物的频率最低。住院率也因专业不同而有所差异。调查结果表明，热性惊厥患儿的管理可能因主治医生的专业不同而有所差异。
