Rutter N, Smales O R
Arch Dis Child. 1977 Mar;52(3):188-91. doi: 10.1136/adc.52.3.188.
To assess the role of routine investigations in children presenting with their first febrile convulsion, the results of investigations carried out in 328 children over a 2-year period were reviewed. Lumber puncture was performed in 96% of cases and resulted in the detection of 4 cases of unsuspected meningitis, one of which was bacterial. 2 children had normal lumbar punctures on admission but developed meningococcal meningitis within 48 hours. Sugar, calcium, urea, and electrolyte estimations, and blood counts were commonly performed but were unhelpful. We suggest that lumbar puncture in those children presenting with their first febrile convulsion under the age of 18 months is the only useful routine investigation.
为评估常规检查在首次热性惊厥儿童中的作用，回顾了328例儿童在两年期间进行的检查结果。96%的病例进行了腰椎穿刺，结果发现4例未被怀疑的脑膜炎，其中1例为细菌性脑膜炎。2名儿童入院时腰椎穿刺正常，但在48小时内发生了脑膜炎球菌性脑膜炎。血糖、钙、尿素和电解质测定以及血常规检查很常见，但并无帮助。我们建议，对于18个月以下首次热性惊厥的儿童，腰椎穿刺是唯一有用的常规检查。
