Febrile convulsions in children, their frequency and prognosis.
Febrile convulsions in children, their frequency and prognosis.
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DOI：
10.1111/j.1651-2227.1954.tb15480.x
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发表时间：
1954-01-01
期刊：
影响因子：
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通讯作者：
MELCHIOR, J
中科院分区：
文献类型：
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作者：
FRIDERICHSEN, C;MELCHIOR, J
在1938年至1953年期间入院的405名热性惊厥儿童中，82%的儿童在出生后3年内首次发作热性惊厥，大多数病例在18个月左右。其中55%是男孩，63%的发烧病例是由上呼吸道急性感染引起的。- 12.3%的儿童因高热惊厥再次入院。在5年期间入院的所有7岁以下儿童中，有40%发热。其中九分之一的儿童有热性惊厥，对405名儿童中的77%进行了跟踪。- 68%的随访儿童自出院以来健康状况良好。- 在20%的病例中，后来出现了抽搐，但没有被诊断为癫痫。然而，这些儿童中约有一半被认为是神经质的。- 有没有抽搐的情况下，约9%，但各种精神上的困难一直present.In结论7标准提到的是重要的热性惊厥和癫痫之间的鉴别诊断。
In a series of 405 children with febrile convulsions, admitted to hospital between 1938 and 1953, 82 per cent had the first attack of febrile convulsions within the first 3 years of life, in most cases about the age of 18 months. Fifty‐five per cent were boys.In 63 per cent of the cases the fever had been caused by acute affections in the upper respiratory tract. — In 12.3 per cent the children were readmitted with febrile convulsions.— Forty per cent of all children under 7 years admitted during a 5‐year period were febrile. Every ninth of these had febrile convulsions.It was possible to follow up 77 per cent of the 405 children. — Sixty‐eight per cent of the children followed up had been in completely good health since their discharge. — Epilepsy had been confirmed in 3.8 per cent. — In 20 per cent of the cases there have been convulsions later on without epilepsy being diagnosed. About half the number of these children have, however, been characterized as nervous. — There have been no convulsions in about 9 per cent of the cases, but various mental difficulties have been present.In conclusion 7 criteria are mentioned which are of importance in the differential diagnosis between febrile convulsions and epilepsy.