veoexrmpzt
Dołączył: 21 Lut 2011
Posty: 371
Przeczytał: 0 tematów
Ostrzeżeń: 0/5
Skąd: England
|
 Wysłany: Nie 7:44, 20 Mar 2011 Temat postu: mulberry bags kmv viv iere hkr |
 |
|
Analysis of 32 cases of congenital syphilis
. Dermatology and Venereology,[link widoczny dla zalogowanych], 1999,21 (1) :21-25. Received :2005-12-05dxJL Analysis of 102 cases convulsions Lan Liu (First People's Hospital of Guangxi Hechi City, Guangxi, Yizhou 546300) Keywords: convulsions; central nervous system disease; chloral hydrate CLC: R725 Document code: B Article ID :1001-58l7 (2006) 03-0429-02 seizures are common symptoms of pediatric clinic is one of the systems of the body have some damage. To investigate the etiology and rescue treatment is now in our hospital in January 1997 ~ December 2004 102 patients were treated d ', JL clinical analysis of seizure, the report is as follows. 1 clinical data. 1.1 General information on this group, 102 cases were male and 7l, female 3l patients, male to female ratio was 2.3:1; age: newborn, 5 cases to 1 year in 16 cases, 52 cases of 3-year-old, ~ 7 years in 19 cases, 10 cases to 12 years old; starting 71 cases, 31 cases of recurrence; l3 patients with positive family history. . 102 cases of primary disease of 1.2 d ', JL seizures primary disease in 59 patients with upper respiratory tract infection, lower respiratory tract infection in 12 cases, epilepsy in 16 cases, 3 cases of neonatal tetanus, neonatal intracranial hemorrhage in 2 cases, 2 cases of chickenpox, l cases of epidemic encephalitis B, injection of DPT vaccine reactions in 2 cases,[link widoczny dla zalogowanych], 2 cases of viral encephalitis,[link widoczny dla zalogowanych], 1 case of purulent meningitis, 1 case of acute cerebral infarction, cerebral hemorrhage caused by paracetamol poisoning in 1 case. Type and duration of seizures: 30 cases of eye gaze, 55 cases of convulsions, seizures in 1 case of left upper limb, mouth twitching in 1 case, 1 case of breath holding attacks, 14 cases of limb convulsions; duration lmln ~ 63 例, 3min ~ 30 例, 10rain - 5 cases, 20min ~ 3 例, 30min more than 1 case. The relationship between seizures and body temperature: Normal body temperature of 18 cases ,38 - 39 ℃ 16 例, -39.5 1.3 Laboratory tests of this group of patients the serum potassium, sodium, calcium, all normal. CSF abnormalities in 5 cases, no bacterial growth culture. EEG abnormalities in 65 cases, 16 patients had epileptic, brain CT examination room 2 were moderate left brain hemorrhage, subarachnoid hemorrhage 2 cases, 1 case of basal ganglia infarction. 1.4 ① treatment seizure control, application of 10% chloral hydrate 0.5rollkg plus saline retention enema; each injection with a stable lrng / ~, if necessary, additional lrng, no more than one baby 2rng, children do not more than 5mg [, children no more than 10mg, direct intravenous injection, speed lrng / min, stop the seizures to stop drug use; each with luminal injection 5 ~ 7mg / ~ g intramuscular injection; each injection with a compound Dongmian Ling lmg, 'kg, intramuscularly. As the disease of drug use more than 1 to 2, if necessary, can be reused. ② symptomatic treatment: oxygen, oxygen saturation improved to reduce brain cell damage. High-frequency oxygen necessary to maintain airway patency, to prevent suffocation, the timely removal of throat secretions. When necessary, tracheal intubation, head to one side to prevent inhalation of vomit. Those to the cold saline enema heat, ice walking at the head and great vessels. Warm water, room temperature maintained at 22-25 ③ cause of treatment: find the cause, while active treatment. Such as the use of effective antibiotics, infections caused by intravenous infusion or intravenous injection. ④ fever treatment: hot on the past history of seizures and epilepsy in children, body temperature at 37.8 ~ 38 ℃, that is to give fever sedatives to keep quiet room to reduce stimulation,[link widoczny dla zalogowanych], prevention of recurrence. 2 Results The 81 patients were cured (79.41%), improved in 19 cases (18,63%),[link widoczny dla zalogowanych], gave up treatment in 2 cases (1.96%). 3 Discussion 3.1 The causes of seizures are many causes of pediatric central nervous system dysfunction caused by organic diseases or symptoms caused by common emergency 【2】, must be controlled as soon as possible to avoid hypoxic-ischemic brain damage, especially the developing brain cells in infants and young children most vulnerable to damage, abnormal discharge can be caused by increased metabolic needs of the increased brain damage. t. 1,, JL causes of seizures can be divided into infectious and noninfectious two categories, the information in this group due to infectious diseases accounted for the majority, was 78.43%, of which more than another respiratory infection, accounting for 57. 84%, non-infectious diseases accounted for 21.57%. 3.2 Treatment of convulsion therapy, should adhere to the emergency is temporary, slow the root of the problem, the principle of mutual consideration. When seizure or water chloral hydrate, stable, luminal or compound winter -. --- 429 -----
Post został pochwalony 0 razy
|
|
