232例儿童热性惊厥血清钠浓度临床分析

摘要

Objective:To investigate the changes of concentrations of natrium and its clinical significance in children with febrile convulsions. Method:Clinical data of 232 children with febrile convulsions who visited Beijing commercial aviation general hospital from 2010 to 2012 were retrospectively analyzed.Result:The concentrations of natrium of children with febrile convulsions were diffrently lower than normal,especially in children with recurrent convulsion and status convulsion whose concentrations of natrium were obviously lower than children with simple febrile convulsions. Conclusion:Varying degrees of hyponatremia occur in children with febrile convulsions. It should pay attention to correct hyponatremia in treatmen of febrile convulsions to reduce the relapse frequency and duration of febrile convulsions,so reduce the harm of brain organization.%目的：探讨热性惊厥患儿血清钠浓度变化及临床意义。方法：对北京民航总医院2010-2012年急诊治疗的232例热性惊厥患儿血清钠浓度作回顾性分析。结果：热性惊厥儿童血清钠浓度常有不同程度的降低，且惊厥反复发作及惊厥持续状态患儿的血清钠浓度明显低于单纯性热性惊厥患儿。结论：热性惊厥患儿常存在不同程度的低钠血症，在常规治疗小儿热性惊厥时应注意纠正低钠血症，以减少小儿热性惊厥的发作次数及持续时间，减轻脑组织损害。