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1、儿童热性惊厥脑电图与临床的关系［摘要］目的:探讨小儿热性惊厥(febrileconvulsions,FC)脑电图(electroencephalogram,EEG)与临床的关系。方法：126例热性惊厥患儿进行EEG描记与分析。结果：126例患儿1周内及1周后EEG异常率分别为69.84%、32.54%；1周内及1周后均为〈3岁组及抽搐反复发作组界常率高；高热惊厥组及低热惊厥组EEG1周内界常率无显著性差片，1周后以低热组界常率高，与高热组比较，有显著性差片。98例表现为单纯性热惊厥，28例表现为复杂性热惊厥，EE
2、G出现痫样放电的异常率分别是3.06%、25.00%°结论:EEG异常率与年龄、发作次数、抽搐时体温有关。复杂性热惊厥转为癫痫的可能性人。临床要重视复杂性热性惊厥、反复发作、小于3岁和低体温抽搐的患儿。［关键词］热性惊厥；脑电图；儿童［中图分类号］R729E文献标识码］C［文章编号11673-7210(2008)08(a)-058-02EEGanditsrelationwithclinicalsignsinchildrenwithfebrileconvulsionsLIANGZuan-qin,YEXin(TheF
3、orthAffiHatedHospitalofJi-nanUniversity,GuangzhouRedCrossHospital,Guangzhou510220,China)［Abstract］Objective:DiscussionontheEEGanditsrelationwithclinicalsignsinchildrenwithfebrileconvulsions・Molhods:EEGwereexaminodin126casesofchildrenwithfebrileconvulsionsandE
4、EGdatawasanalysized・Results:TheabnormalityrateofEEGwas69.84%inaweek;theabnormalityrateofEEGwas32.54%afteraweek;TheresultsshowedthattheEEGabnormalityrateinchildrenwiththerelapsetimesofFCandageunderthreeyearswassignificantlyhigherwheneverinaweekorafteraweek・Ina
5、week,theEEGabnormalityratehadnotstatisticssignificancebetweenthegroupwithhighandlowbodytemperature,butafteraweek,theEEGabnormalityrateinchi1drenwith1owbodytemperaturewassignificantlyhigherthanthatinchildrenwithhighbodytemperature,whichhadstatisticssignificanc
6、e.98casesweresimpleFC,28caseswerecomplicatedFC.TheabnormalityrateofEEGwithepilepsywas3・06%,25%・Conclusion:TheabnormalityrateofEEGisrelatedwithage,recurrentFCandbodytemperature.ComplicatedFCiseasytodevelopintoepi1epsy.Enoughattentionmustbepaidtothosechildrenwi
7、thcomplicatedFC,recurrentFCandFCwithageunderthreeyearsandlowbodytemperature.［Keywords］Febrileconvulsions;EEG;Childrcn热性惊厥(febrileconvulsions,FC)是指发生在婴幼儿时期的伴有发热的惊厥发作，并排除中枢神经系统感染及无热惊厥病史［1］，是婴幼儿时期常见疾病2—。反复发作对以造成缺氧性脑损伤，对儿童的脑功能产生一定影响，部分可进展为癫痫［2］。木文对我院2004年1月〜2007年
8、1月门诊及住院的126例热性惊厥患儿脑电图(electroencephalogram,EEG)结果进行分析，报道如下：1对象与方法1.1对象患儿126例,男89例(70.63%),女37例(29.36%),年龄6个月〜5岁。所有病例排除屮枢神经系统感染及无热惊厥病史，体温37.5〜40°C,发热原因多为呼吸道及消化道感染，发作抽搐1次至数次，惊厥时表现：四肢强直，抽搐脸色
