Kinsella J B, O'Sullivan P, McShane D P
National Childrens' Hospital, Dublin, Ireland.
Int J Pediatr Otorhinolaryngol. 1995 May;32(2):153-7. doi: 10.1016/0165-5876(95)01166-9.
The middle ear and tonsil are thought to be important sources of infection in children with febrile seizures. However, these patients are rarely examined by an otolaryngologist in the acute phase and we are unaware of any previous studies where otolaryngologists have documented the presence of acute suppurative otitis media (ASOM) and tonsillitis in a series of children with febrile convulsions. We carried out a prospective study on 47 children admitted to two Dublin hospitals with a diagnosis of simple febrile convulsion. All children were examined by an otolaryngology resident within 6 h of admission. Nine children were noted to have ASOM and 18 had acute tonsillitis. The otolaryngology resident's opinion of the condition of the ears and throat often differed from that of the admitting pediatric resident, as documented in the clinical records. We review the recent literature on febrile convulsions and discuss the possible role of the otolaryngologist in the prevention of seizure recurrence.
中耳和扁桃体被认为是热性惊厥儿童重要的感染源。然而，在急性期这些患者很少由耳鼻喉科医生进行检查，而且我们不知道之前有任何研究，其中耳鼻喉科医生记录了一系列热性惊厥儿童中急性化脓性中耳炎（ASOM）和扁桃体炎的存在情况。我们对都柏林两家医院收治的47例诊断为单纯热性惊厥的儿童进行了一项前瞻性研究。所有儿童在入院后6小时内由一名耳鼻喉科住院医师进行检查。9名儿童被发现患有急性化脓性中耳炎，18名患有急性扁桃体炎。如临床记录所示，耳鼻喉科住院医师对耳部和咽喉状况的看法往往与收治的儿科住院医师不同。我们回顾了近期关于热性惊厥的文献，并讨论了耳鼻喉科医生在预防惊厥复发中可能发挥的作用。
