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소아 급성열성경련에 관한 임상적 연구 Clinical Study of Acute Febrile Convulsion in Korean Children(1968~1976)

이화의대지 1978년 1권 2호 p.155 ~ 164
김철규,
소속 상세정보
김철규 (  ) 
이화여자대학교 의과대학 소아과학교실

Abstract


An analysis presented of 96 cases of the acute febrile convulsions in Korean children, treated at the pediatric ward, Ewha Womans University Hospital from Jan 1, 1968 to Dec. 31,1976. The average number of the patients in the annual incidence was 10 cases, which` was 1.9 percent of the total admitted patients of the pediatrics in our hospital. Seasonal distribution revealed as the .highest in summer (31.3%) and fifty-eight, 60.4 percent of the patients were male and 38 or 39.6%, female. The highest portion of those with febrile seizures, namely 27.1%, occured in the 1 to 2 years of age, followed by x.8.8% in the first year of life and. 15.7 90 in the 34 years of life. The family history in siblings, parents and/or near relatives -showed convulsions in 16 ca.ses(16.7 percent). The risk of seizure in the acute febrile convulsions increased with the temperature. In 44.896 of the author´s cases the temperature was 38399´C. But we also experienced the convulsive children (10.4oa) whose temperatures were--in mild degree (under the 38C). Infections and fever are partners in crime. In the 96 cases, 65.700 involved acute upper respiratory .infection. The others were gastroenteritis (11065), pneumonia (11.60), bronchitis (2.1%) in orders. Tonic and clonic convulsions were found in 83 cases 186.5%) and the other was twitching (14.6%). In routine hematologic findings anemia was present in 26 cases (37.1%) and the normal value of hemoglobin was in 70 cases (72.956). Leukocytosis (>10, 000/mm~) included in 60 cases(60. 596). We found that hyponatremia was a´common finding in children admitted to our hospital with febrile convulsion. The mean Na was 135 mEq/L and hyponatremia was present in 6 cases (31.69161) of the 19 cases.
The highest incidence in the duration of seizure was represented in those lasted 5 to 30 minutes as 36 ´cases (37.65vo). In author´s study 94.8% of the 96 cases had but one febrile seizure and the recurrence attack represented only 5.2%. The mean hospital day was 2.5 days.

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