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热性惊厥。

Febrile Seizures.

出版信息

Pediatr Ann. 2023 Oct;52(10):e388-e393. doi: 10.3928/19382359-20230829-03. Epub 2023 Oct 1.

Abstract

Febrile seizures (FSs) are the most common cause of pediatric seizures. They are defined as seizures in children age 6 months to 5 years with a temperature higher than 100.4°F, although they are more common at higher temperatures. A family history of FS is the most common risk factor. FSs are classified into three types (simple, complex, or febrile status epilepticus) based on duration and quality, with simple FSs accounting for many cases. Most FSs persist for less than 10 minutes and are self-limiting. Approximately one-third of patients will have recurrence of FSs. Safe and effective prophylaxis for FS has yet to be identified. Most patients will not have any long-term sequelae, although there is an increased risk of epilepsy, particularly for those with febrile status epilepticus. FSs are associated with caregiver anxiety, "fever phobia," and high health care use, emphasizing the importance of education and reassurance for both the provider and family. .

摘要

热性惊厥(FSs)是儿童癫痫发作的最常见原因。它们被定义为年龄在 6 个月至 5 岁之间的儿童在体温高于 100.4°F 时发生的癫痫发作,尽管在更高的温度下更常见。FSs 的最常见危险因素是家族史。FSs 根据持续时间和质量分为三种类型(简单、复杂或热性癫痫持续状态),其中简单 FSs 占多数。大多数 FSs 持续时间不到 10 分钟,且具有自限性。大约三分之一的患者会出现 FSs 复发。目前尚未确定 FSs 安全有效的预防方法。大多数患者不会有任何长期后遗症,尽管癫痫发作的风险增加,尤其是那些患有热性癫痫持续状态的患者。FSs 与照顾者的焦虑、“发热恐惧症”和高医疗保健使用率有关,这强调了为提供者和家庭提供教育和保证的重要性。

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