Bettis D B, Ater S B
J Emerg Med. 1985;2(5):341-8. doi: 10.1016/0736-4679(85)90287-2.
Febrile seizures are a common problem. Simple febrile seizures usually occur in otherwise normal children and are brief, generalized, and relatively benign. First febrile seizures should be evaluated by a physician to rule out serious underlying disease. A careful history and thorough physical exam are essential. Routine laboratory evaluation of simple febrile seizures is seldom helpful. Other laboratory tests to determine the source of fever or cause of seizures should be obtained when specifically indicated. Although the threshold for performing a lumbar puncture should be low, it is not mandatory to obtain one in every case of simple febrile seizures. Treatment of most simple febrile seizures consists of fever control and parental counseling. Chronic anticonvulsant therapy should be limited to special circumstances.
热性惊厥是一个常见问题。单纯性热性惊厥通常发生在其他方面正常的儿童中，发作短暂、全身性且相对良性。首次热性惊厥应由医生进行评估，以排除严重的潜在疾病。详细的病史和全面的体格检查至关重要。对单纯性热性惊厥进行常规实验室检查很少有帮助。当有明确指征时，应进行其他实验室检查以确定发热来源或惊厥原因。虽然进行腰椎穿刺的阈值应该较低，但并非每例单纯性热性惊厥都必须进行。大多数单纯性热性惊厥的治疗包括控制发热和对家长进行咨询。慢性抗惊厥治疗应限于特殊情况。
