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題 名 | Rotavirus Gastroenteritis Associated with Afebrile Convulsion in Children: Clinical Analysis of 40 Case=兒童期輪狀病毒胃腸炎合併無熱性痙攣:40病例的臨床分析 |
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作 者 | 洪正祝; 文心怡; 顏盟修; 陳慧文; 顏大欽; 林光麟; 林思偕; 林奏延; 許志怡; | 書刊名 | 長庚醫學 |
卷 期 | 26:9 2003.09[民92.09] |
頁 次 | 頁654-659 |
分類號 | 417.5473 |
關鍵詞 | 輪狀病毒胃腸炎; 無熱性痙攣; Rotavirus gastroenteritis; Afebrile seizure; |
語 文 | 英文(English) |
中文摘要 | 背景:本研究之目的在於評估因感染輪狀病毒胃腸炎且合併無熱性痙攣而住院之病童,探討有關其臨床表現以及預後之研究。 方法:本研究以回溯性的方法收集在10年期間,因輪狀病毒胃腸炎住院且未滿18歲的病賽中,合併有無熱性痙攣,且排除掉有抽筋病史或有電解質異常或低血糖之病童後,進一步分析感染輪狀病毒胃腸炎且合併無熱性痙攣病童之臨床表現及預後,統計方法是採用Chi-square test, the Kruskal-Wallis test及the Mann-Whitney test。 結果:在1937個病人當中有40個合併非熱或痙戀的病人節合研究,其中24人是女性,16人是男性。感染輪狀病毒胃腸炎後發生非熱性痙攣的比例約2.06%。這40人的年齡分布由6個月至6歲(平均1.9歲),非熱性痙攣發生率最高的是一至兩歲間的兒童(4.67%, p<0.001, Chi-square test)。27個人(67.5%)痙攣次數超過兩次而且都是在24小時內反覆發生,以兩歲以上小孩容易有較多痙攣次數(p=0.008, Mann-Whitebt test),但並沒有病人產生癲癇重積狀態。超過半數(52.5%)的病人是在腹瀉後第三天發生痙攣。部分病人做了腦脊髓液,腦部超音波及電腦斷層檢查,結果都是正常。在35個接受腦波檢查的病人中有5個人腦波程現異常,其中4人在往後的追蹤轉為正常。大多數病人都不需要長期的抗癲癇藥物治療,經過平均39.1個月的追蹤,他們的生長發育及神經學發展都是正常的。除了一個病人在這之後曾發生一次熱性或痙攣,其餘的病人日後都不再有痙攣發生。 結論:兒童期輪狀病毒胃腸炎合併無熱性痙攣為一良性病程,預後都很好。大多都不會再有痙攣復發,也不需要長期使用抗痙攣藥物。 |
英文摘要 | Background: The purpose of this study was to evaluate the clinical manifestations and outcomes of hospitalized children with afebrils seizures following rotavirus gastroenteritis. Methods: We conducted and retrospective study enrolling patients under 18 years old who were admitted to our hospital during a 10-year period with the diagnosis of rotavirus gastroenteritis. We identified and further analyzed patients who presented with afebrile seizures, without previous seizure discorders, electrolyte imbalances or hypoglycemia. The statistical methods used were the Chi-square test, the Kruskal-Wallis test and the Mann-Whitney test. Results: Of 1937 patients, 40 patients (24 female and 16 male patients)met the inclusion criteria. The incidence of afebrile seizures following rotavirus gastroenteritis was 2.06%. The Age of the patients ranged from 6 months old to 6 years old (mean, 1.9 years). The highest incidence of afebrile seizures was 4.67% in children 1 to 2 years of age (p<0.001). Twenty-seven patients (67.5%) had two or more seizures, which usually were in clusters within a 24-hour period. No status epilepticus was observed. More than half of the patients (52.5%) suffered from seizures on the third day of diarrhea. Only five of 35 patients showed abnormal electroencephalogram (EEG) findings, which reverted to normal in four of the patients during the follow-up period. Most patients did not require long-term anticonvulsant treatment. During the follow-up period, all patients displayed normal psychomotor development without the recurrence of seizures, except in one patients who had a febrile convulsion. Conclusion: We found that the course of aebrile seizures following rotavirus gastroenteritis was benign with satisfactory outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。