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[对自出生起(早产儿和足月儿新生儿)进行随访的儿童中峰值电位灶的纵向研究]

[Longitudinal study of foci of peak potentials in children followed since birth (premature and newborn infants at term)].

作者信息

Dreyfus-Brisac C, Monod N

出版信息

Psychiatr Neurol Med Psychol Beih. 1970;13-14:202-11.

PMID:5006286
Abstract

The most significant results obtained in this study are as follows: Our group, in which the premature infants constitute one half, very often shows peak potential foci in the brain-current diagram. This applies in particular to premature infants at 2 years of age. What is remarkable is the group of 21 normal children among the 88 children, of whom the majority show peak potentials after 2 years. It is impossible to decide whether these peaks signify a lesion or a functional disorder only. From practical considerations it follows that the presence of peaks in children under 2 years of age is a serious symptom; such peaks should not be treated with barbiturates, as it is possible for them to disappear spontaneously. Long-drawn-out observations made in a period of four to five years have shown that epilepsy is a rare occurrence in children showing peaks in their brain-current diagrams between 2 and 5 years of age. The peak potential does not indicate a disease, but is rather an indication of a more or less transitory functional disorder, and it should be interpreted together with the clinical picture.

摘要

本研究获得的最重要结果如下

我们这个组中早产儿占一半,脑电流图中经常出现电位峰值焦点。这尤其适用于2岁的早产儿。值得注意的是,在88名儿童中有21名正常儿童,其中大多数在2岁后出现电位峰值。仅根据这些峰值无法确定它们是表示病变还是仅仅是功能紊乱。从实际情况来看,2岁以下儿童出现峰值是一个严重症状;这种峰值不应使用巴比妥类药物治疗,因为它们有可能自行消失。在四到五年期间进行的长期观察表明,在2至5岁脑电流图出现峰值的儿童中,癫痫是一种罕见情况。电位峰值并不表明患有疾病,而更像是或多或少暂时性功能紊乱的一种迹象,并且应该结合临床症状进行解读。

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