探讨小儿热性惊厥(febrile convulsion，FC)的临床特点，为该病的防治提供依据。

回顾性分析2006年1月至2008年2月山东省济南市第三人民医院收治的236例小儿热性惊厥患儿的临床资料。

本组236例热性惊厥患儿经治疗后，未再次出现惊厥症状，其中86例惊厥难以完全控制患儿，给予地西泮＋苯巴比妥钠联合治疗，疗效满意。患儿平均住院时间为5 d。出院后随访1年，复发为45例，其中复发1次为32例，2次以上为13例，共6例(2.5%)确诊为癫痫。

小儿热性惊厥的发作与高热密切相关，感染性疾病为主要基础疾病。对该病进行积极的综合治疗，预后一般较好。对于极少数有发展为癫痫的高危热性惊厥患儿，可采取适当干预措施，但不能随意对其长期预防性使用抗癫痫药物。

To discuss clinical features of febrile convulsion (FC) so as to provide the basis for the prevention and treatment of disease.

Clinical data of 236 children with febrile convulsion who were admitted to the Third People's Hospital of Ji'nan City from January 2006 to February 2008 were retrospectively analyzed.

All febrile convulsion children were recovery after treatment. Among them, 86 cases who were difficult to control convulsion received Diazepam plus phenobarbital sodium treatment, and then recovered. The average length of stay was 5 days. Follow-up 1 year after discharge, 45 children were recurrence, including 32 cases recurred once, 13 cases recurred more than twice. Finally, 6 cases were diagnosed as epilepsy (2.5%).

Febrile convulsion is associated closely with high fever, and infectious diseases are main basic diseases. Febrile convulsion could get good prognosis under the active comprehensive treatment. Appropriate intervention measures should be given to a very small number of high-risk development of epilepsy in children with febrile convulsion, but not free of its long-term preventive use of antiepileptic drugs.