????(???)?? (Acute Convulsion in Children) (Symptomatic Convulsion Children) - PowerPoint PPT Presentation

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Title:

????(???)?? (Acute Convulsion in Children) (Symptomatic Convulsion Children)

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(Acute Convulsion in Children) (Symptomatic Convulsion Children) = ... 1 Febrile seizure / convulsion, FS/FC) ... – PowerPoint PPT presentation

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Title: ????(???)?? (Acute Convulsion in Children) (Symptomatic Convulsion Children)


1
????(???)?? (Acute Convulsion in
Children)(Symptomatic Convulsion Children)
?? ? ??
2
????????
? ????(Epileptic Seizures) ?
????(Convulsive Seizures)
???????????????? ?????
3
? ???????-----???? (Convulsive Epileptic
Seizures) ??????????????? ? ????????
(Non-Convulsive Epileptic Seizures)
???????????????
4
????????
? ?? (Epilepsy) ??????????? (??????????)
?????,???? ????? (Acute Convulsion)
??????????? ?????????
5
?????????(1980?)
?.????? ?.????? ?.????? ?.????? ?.????? ?.???????
?????(??????) ?????(??????) ??-???? ??-????
????? ????? ?????
????? ????? ?????
??????? ???? ????
?????? ????
?????(??????) ?????(??????) ?????
????????????? ????? ?????
???????????????? ????? ?????
???????????? ???????????? ???? ????
6
???? ? ??????? ?
??????????? ? ??????? ? ??????
?????????
7
- ????? -
????????? Convulsion / Seizure
  • ? ??
  • ??????,?????????????????????????????????????
    ???
  • ??????? ?????????

8
(No Transcript)
9
? ???(Epilepsy)?? ?????
????????? ? ????? ????????
???-??????????? ? ??????
????????????
10
???????????????
  • (1) ???????????,6??
  • ????1015?
  • (2) ?????????????
  • ???????30??,??????????? ???30??????????
  • ? ???????????????????
  • (3) ??????(lt3?)??????
  • (4) ?????

11
???? ? ????? ? ????????? ?
??????? ? ??????
?????????
12
????????????????
??? ????
?? ??????????? ? ? ????? ????????? ????????? ???? ?????? ???? (????)
?? ???? (Febrile seizure,FS) ????? ??? ?????(?????? ?????) ??????? ??????? ???????????

13
- ??????? -
(?)????? 1. ???? ?????????????
2. ???? ???? ??????? (1)????
(Febrile seizure / convulsion, FS/FC) ?
?? ???????????? ????????????????

14
???????? ???? 35 1988????????
4.7
??? 2.9?
  • ? ??(1)????,?????
  • (2)??????
  • ??????
  • ???FS 19p 13 3
  • FS??????8q 1321
  • GEFS 2q?19q

15
- ??????? - FC
? ??70?????? ????????????????
??????? ? ????? ???
? ???FS??(??FS) ?????6?3??
?????,??10??,??5?? ?????(??-??)
24????12??? 40?????,??56?????
16
- ??????? -FC
? ???FS(???FS)?????? ????15?? ?????
24???3??????? ?????,5?(?)
17
- ??????? -FC
  • ? FS?????
  • FS?????(Annegers??)
  • ???FS??????2.4(??
  • ???????0.35,???2.8
  • 4.1 )
  • ???FS
  • ? ??????????(24?)
  • ????? 1722
  • ? ???????? 49.

18
- ??????? -FC
  • ????
  • ? ???FS ??
  • ? ????????
  • ? FC???????????????
  • ?????????????????,???????????1?3?13?

(2)???????
19
??????????????
??? ????
?? ??????????? ? ? ????? ????????? ????????? ???? ?????? ???? (????)
?? ???? (Febrile seizure,FS) ????? ??? ?????(?????? ?????) ??????? ??????? ???????????

20
- ??????? -
(?)?????? (1)???? ? ????? ?
??????????????? ?(???Adams-Stokes???)
? ?????? ? ????????lt15,???
33? ? ??????????
21
- ??????? -
  • (2)????
  • ? ???
  • ????(???D????????)
  • (2.12.55mmol/L,??? 0.75mmol/L)?
  • ????(4.46.72mmol/L)?.

22
  • ????(0.81.2mmol/L)
  • ???????
  • (136146mmol/L)
  • ??????(???????)
  • ? ????????????
  • .

23
. ??????????
- ??????? -

??? ????
?? ??????????? ? ? ????? ????????? ????????? ???? ?????? ???? (????)
?? ???? (Febrile seizure,FS) ????? ??? ?????(?????? ?????) ??????? ??????? ???????????
24
???? ? ????? ? ????????? ?
??????? ? ??????
?????????
25
  • -???????-
  • ?????????
  • (?)??
  • (1)??
  • ? ???????????????
  • ????????
  • ? 16?????????????

26
? 6????????????????? ??????? (2)?? ?
?????????????? ? ????????????????
VitD ????????
27
  • - ??????? -
  • (3)?????
  • ? ?????????,?3????
  • ????????????
  • ? ?????????,???????
  • ??????
  • (4)??????
  • ????????????????

28
  • - ??????? -

(?)?? (1)??????? (2)????
(3)?????????? (4)????????????? ???????
29
  • - ??????? -
  • (?)?????
  • ? ?????????????
  • ? ??????????Ca?Mg ?
  • Na?????
  • ? ?????????????
  • ? ??EEG??CT/MRI

30
??????????????
??? ? ? (mmH2O) ? ? ???? (?/106) Pandy ? ? ? ? (g/L) ? (mmol/L) ????
? ? lt180 lt1.76Kpa ? lt10 - 0.2 0.4 2.84.5 ??? 110120mmol/L
??? ??? ? ??? ????,???? ???? ???? ???????????????????
?????? ???? ??? ????,???? ???? (??1???) ? ? ????????????????????
???????? ????? ?????? ????,???? ?????? ?? ???????,??????
??????? ? ??? ????,???? ?? (??1???) ? ? ??????????????????????
??????? ????? ? ? ? ? ????? ? ?

31
??????? ( ???????????)
? ????? ? ??????,?????,?
?,Pandys??????? ?????
? ?????????? ? ??? ????????????
?????(IgG?IgM)
32
???CSF?? ????????????????
??????WBC????????? ???????? ???CSF??
???????????????? ?? WBC?????????? ???
???????
33
???CSF?? ?????????
WBC?????????? ?????????????? ?????
34
???? ? ????? ? ????????? ?
??????? ? ??????
??????
35
- ????? -
???????
(?)???????? (1)??0.30.5mg/kg/?????
?????24?/24????????? ? ??????(13???),?
8590????? ? ????????(1/21??),?
?????
36
- ????? -
  • (2)?????(???)
  • 512mg/kg/?,?????,?23?/??
  • ??2030?????510?????
  • (3)???????
  • (4)????????????????
  • ????
  • (?)????20???????
  • (?)?????????,?????
  • ????

37
(?) ??????? ???FC ??????? ???FC
????? ??????? ????????????
??

38
????
? ????? ? ???????????? ? ???????????? ?
??????? ??? ? ????????????? ? ?????
39
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