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儿童热性惊厥管理的最佳实践。

Best practices for the management of febrile seizures in children.

机构信息

Pediatrics Unit, Neurosciences, Mental Health and Sensory Organ (NESMOS) Department, Faculty of Medicine and Psychology, S. Andrea Hospital, Sapienza University, via di Grottarossa 1035/1039, Rome, 00189, Italy.

IRCCS Giannina Gaslini, Genoa, Italy.

出版信息

Ital J Pediatr. 2024 May 12;50(1):95. doi: 10.1186/s13052-024-01666-1.

Abstract

Febrile seizures (FS) are commonly perceived by healthcare professionals as a self-limited condition with a generally 'benign' nature. Nonetheless, they frequently lead to pediatric consultations, and their management can vary depending on the clinical context. For parents and caregivers, witnessing a seizure can be a distressing experience, significantly impacting their quality of life. In this review, we offer an in-depth exploration of FS management, therapeutic interventions, and prognostic factors, with the aim of providing support for physicians and enhancing communication with families. We conducted a comprehensive literature search using the PubMed and Web of Science databases, spanning the past 50 years. The search terms utilized included "febrile seizure," "complex febrile seizure," "simple febrile seizure," in conjunction with "children" or "infant." Only studies published in English or those presenting evidence-based data were included in our assessment. Additionally, we conducted a cross-reference search to identify any additional relevant data sources. Our thorough literature search resulted in a compilation of references, with carefully selected papers thoughtfully integrated into this review.

摘要

热性惊厥(FS)在医疗保健专业人员中通常被视为一种自限性疾病,具有一般“良性”的性质。然而,它们经常导致儿科就诊,其管理可能因临床情况而异。对于父母和照顾者来说,目睹癫痫发作可能是一种痛苦的经历,会严重影响他们的生活质量。在这篇综述中,我们深入探讨了 FS 的管理、治疗干预和预后因素,旨在为医生提供支持并加强与家庭的沟通。我们使用 PubMed 和 Web of Science 数据库进行了全面的文献检索,涵盖了过去 50 年的文献。使用的检索词包括“热性惊厥”、“复杂热性惊厥”、“简单热性惊厥”,以及“儿童”或“婴儿”。我们仅纳入了以英文发表或提供循证数据的研究。此外,我们还进行了交叉参考搜索,以确定任何其他相关数据源。我们进行了全面的文献检索,编制了参考文献,并精心挑选了一些论文纳入本综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf64/11089695/610cda769997/13052_2024_1666_Figa_HTML.jpg

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