热性惊厥

最后审阅: 2 一月 2023
最后更新: 19 七月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热性疾病
  • 癫痫发作
更多 关键诊断因素

其他诊断因素

  • 发作后体检正常
其他诊断因素

危险因素

  • 体温升高
  • 低龄
  • 男性
  • 热性惊厥家族史
  • 中枢神经系统以外的病毒或细菌感染
  • 疫苗接种
  • 产前接触尼古丁
  • 铁缺乏症
  • 孕期、生产和分娩并发症
更多 危险因素

诊断性检查

首要检查

  • 为临床诊断
更多 首要检查

需考虑的检查

  • 腰椎穿刺:
  • 病毒检测
  • 血培养
  • 脑电图 (EEG)
  • 脑部 MRI
  • 血清钠
  • 全血细胞计数 (FBC)
  • 毛细血管血糖
  • 血清葡萄糖
  • 铁分析检测
更多 需考虑的检查

治疗流程

初步治疗

热性惊厥持续状态

急症处理

首次单纯性热性惊厥发作

首次复杂性惊厥

持续性治疗

发热性疾病伴既往单纯性惊厥或 1 次复杂性惊厥病史

有2 次或 2 次以上的地西泮治疗无效的复杂性热性惊厥病史

撰稿人

作者

Damian Roland, BMedSci, MBBS, FRCPCH, PhD

Honorary Associate Professor and Consultant in Paediatric Emergency Medicine

Paediatric Emergency Medicine Leicester Academic (PEMLA) Group

Children’s Emergency Department

Leicester Royal Infirmary

Leicester

UK

利益声明

DR declares that he is a previous member of the National Institute for Health and Care Excellence Feverish Illness in Children Guideline Group.

鸣谢

Dr Damian Roland would like to gratefully acknowledge Dr Leena Mewasingh, Dr Frances Morrison, Dr John J. Millichap and Dr J. Gordon Millichap, previous contributors to this topic. LM has received funding from drug companies (e.g., Eisai) to attend medical conferences and been invited to an educational symposium (Novartis, LivaNova). FM declares that she has no competing interests. JJM serves as an Associate Editor of Neurology and serves on the editorial board of Pediatric Neurology Briefs; volunteers on the medical advisory board of The Jack Pribaz Foundation (KCNQ2.org); received speaker honoraria from Invitae; received royalties for online monographs from Up-To-Date; served on the scientific advisory board for Mallinckrodt; is principal investigator for a clinical trial funded by UCB Pharma; and is the principal investigator for research grants from Citizens United for Research in Epilepsy and the Thrasher Research Fund. JJM is an author of a number of references cited in this topic. JGM is an author of a number of references cited in this topic.

同行评议者

Robert S. Rust, Jr., MA, MD

Professor

Department of Neurology

University of Virginia Health System

Charlottesville

VA

利益声明

RSR declares that he has no competing interests.

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