Sandramouli S, Robinson R, Tsaloumas M, Willshaw H E
Birmingham Children's Hospital, NHS Trust, Ladywood.
Arch Dis Child. 1997 May;76(5):449-51. doi: 10.1136/adc.76.5.449.
To evaluate the incidence of retinal haemorrhages after convulsions in children.
All children who required hospital admission after an episode of convulsions were included in the study. Complete neurological and ocular examinations, including ophthalmoscopy, were undertaken within 48 hours of hospital admission.
Thirty three children were examined according to the protocol and their seizures were classified by a paediatric neurologist. Despite the fact that some of the children also vomited or underwent cardiopulmonary resuscitation, none of the 33 children developed retinal haemorrhages.
Convulsions rarely (if ever) give rise to retinal haemorrhages. The finding of retinal haemorrhages should stimulate a detailed assessment to exclude non-accidental injury, whatever the nature of the associated or antecedent events.
评估儿童惊厥后视网膜出血的发生率。
所有惊厥发作后需住院治疗的儿童均纳入本研究。在入院48小时内进行了全面的神经和眼科检查，包括眼底镜检查。
33名儿童按方案接受了检查，其癫痫发作由儿科神经科医生进行分类。尽管有些儿童还出现呕吐或接受了心肺复苏，但33名儿童中无一例发生视网膜出血。
惊厥很少（即便有也极少）引起视网膜出血。无论相关或先前事件的性质如何，发现视网膜出血均应促使进行详细评估以排除非意外伤害。
