Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2010, Vol. 06 ›› Issue (03): 185 -187. doi: 10.3877/cma.j.issn.1673-5250.2010.03.011

Original Article

Clinical Analysis of 236 Cases With Febrile Convulsion

Hui-min XUE, Xian-mei LU, Wen LI   

  1. Shandong University School of Medicine, Ji'nan 250101, China
  • Published:2010-06-01
Objective

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

Methods

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.

Results

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%).

Conclusion

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.

1 Nan JL, Jin CQ.Clinical analysis of 166 infants with febrile convulsion[J].J Chin Mod Pediatr, 2004, 1(3): 249-250.[南京兰,金春权.小儿高热惊厥166例临床分析[J].中华现代儿科学杂志,2004, 1(3): 249-250.]
2 Wu XR. Pediatrics[M]. Beijing: People's Medical Publishing House, 2000, 406. [吴希如.儿科学[M].北京:人民卫生出版社,2000, 406.]
3 Liu JH, He XY, Cun YQ.Diagnosis and treatment of children convulsion[J].Chin Mag Clin Med Prof Res, 2008, 6(22): 1741-1742.[刘继红,和秀英,寸艳琴.小儿惊厥的诊断及处理[J].中华临床医学研究杂志,2008, 6(22): 1741-1742.]
4 Wei J. Clinical analysis of 138 infants with febrile convulsion[J]. Chin J Postgraduates Med, 2006, 29(6): 66. [魏杰.128例小儿高热惊厥的临床分析[J].中国医师进修杂志,2006, 29(6): 66.]
5 Zuo QH.Nervous system disease in children [M].Beijing: People's Medical Publishing House, 1981, 172-174.[左启华.小儿神经系统疾病[M].北京:人民卫生出版社,1981,172 -174.]
6 Kong DQ, Kong XY, He NH. Influence analysis of complex febrile convulsion into epilepsy of infants[J]. Acta Academiae Med Militaris Tertiae, 2005, 27(8): 767-769. [孔德庆,孔祥英,何年海.复杂型小儿高热惊厥转化为癫痫的影响因素分析[J].第三军医大学学报,2005, 27(8): 767-769.]
7 Feng YQ. Analysis of 58 neonates with febrile convulsion[J]. Matern Child Health Care China, 2005, 20(1): 81-82. [冯玉琴.新生儿惊厥急救58例分析[J].中国妇幼保健,2005, 20(1): 81-82.]
8 Zhang YH, Ma XW.Treatment and prognosis in patients with febrile convulsion[J].J Appl Clin Pediatr, 2007, 22(24): 1841-1844.[张月华,马秀伟.热性惊厥的治疗和预后[J].实用儿科临床杂志,2007, 22(24): 1841-1844.]
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