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《基层医疗卫生机构常见新生儿疾病诊疗指南:新生儿惊厥(2025年版)》

[Guideline for the diagnosis and treatment of common neonatal diseases in primary healthcare institutions: neonatal seizures (2025)].

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2025 Jun 15;27(6):638-647. doi: 10.7499/j.issn.1008-8830.2412160.

Abstract

Seizures are common clinical emergencies in neonatology, potentially leading to severe complications and directly impacting the neurodevelopmental prognosis of the infants with this condition. For primary healthcare providers, key clinical challenges include standardized emergency management, precise clinical diagnosis and treatment, and accurate assessment of referral indications. To assist primary healthcare providers in the prompt identification and standardized management of neonatal seizures, the Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association organized a panel of experts to develop the "Guideline for the diagnosis and treatment of common neonatal diseases in primary healthcare institutions: neonatal seizures (2025)", based on the latest clinical evidence and expert consensus. This guideline provides primary healthcare providers with 17 recommendations addressing nine common clinical questions in neonatal seizures.

摘要

惊厥是新生儿科常见的临床急症,可能导致严重并发症,并直接影响患有这种疾病的婴儿的神经发育预后。对于基层医疗服务提供者来说,关键的临床挑战包括标准化的急救管理、精确的临床诊断和治疗,以及准确评估转诊指征。为了帮助基层医疗服务提供者及时识别和标准化管理新生儿惊厥,中华医学会儿科学分会新生儿学组组织专家团队,基于最新临床证据和专家共识,制定了《基层医疗机构常见新生儿疾病诊疗指南:新生儿惊厥(2025年版)》。本指南为基层医疗服务提供者提供了17条建议,涉及新生儿惊厥九个常见临床问题。

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本文引用的文献

1
Neonatal Seizures.新生儿惊厥。
Neoreviews. 2024 Jun 1;25(6):e338-e349. doi: 10.1542/neo.25-6-e338.
3
Causes and Risk Factors of Drug-Resistant Epilepsy in Children.儿童耐药性癫痫的病因及危险因素
Iran J Child Neurol. 2023 Summer;17(3):89-97. doi: 10.22037/ijcn.v17i1.33814. Epub 2023 Jul 1.
7
Neonatal Seizures.新生儿惊厥
N Engl J Med. 2023 May 4;388(18):1692-1700. doi: 10.1056/NEJMra2300188.
9
[Expert consensus on clinical management of neonatal seizures].[新生儿惊厥临床管理专家共识]
Zhonghua Er Ke Za Zhi. 2022 Nov 2;60(11):1127-1133. doi: 10.3760/cma.j.cn112140-20220531-00498.

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