Urethral syndrome misdiagnosed as urinary tract in -

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Urethral syndrome misdiagnosed as urinary tract infection in 26 cases

Is a special type of epilepsy. Our hospital from 2000 年 1 January March 2006 6O clinical data of patients with febrile seizures were analyzed. 1 1.1 General information clinical data of all cases are in line with the diagnostic criteria of febrile seizures. The group of 60 patients were 38 males and 22 females. The first time, age 3 months to 6 years old, which is less than 6 months in 2 cases, 40 cases of a 3-year-old, a 6-year-old in 18 cases. Cause of febrile seizures in 45 cases of upper respiratory tract infection (75.0%), bronchial pneumonia, 14 cases (23.3%), enteritis in 8 cases (13.3%),[link widoczny dla zalogowanych], bacterial tonsillitis in 2 cases (3.0%) l otitis media (1.1%). The patients had a family history of seizures and epilepsy in 3 cases, the history of birth asphyxia in 5 cases, 1 case of premature children, the history of pathologic jaundice in 1 case. 1.2 The main clinical manifestations of generalized seizures onset form of 56 patients (93.8%), showing his eyes staring, lips cyanosis, loss of consciousness,[link widoczny dla zalogowanych], Chen was a twin generalized tonic seizures, partial seizures in 4 cases. When the initial issuance of the average body temperature of 37.6 ~ 40.8 ℃ 38.9 ℃. One 37.6-38 ℃ 1 例 (1.7%), 38.0 ~ 38.5 ℃ 8 例 (13.3%) ,[link widoczny dla zalogowanych],38.5-39 ℃ 22 cases (36.7%), 39. 0 ~ 40.0 ℃ 27 例 (45.0%), 40.0 ~ 40.5 ℃ 2 cases (3,3%). Body temperature> 38.5 ℃ 85.0%. Febrile seizures started to 47 patients within 24 hours (78.3%), 24 ~ 48h13 (21.7%), febrile convulsions within 24h seizure episodes 1, 49 cases (81.7%), ≥ 2 in 9 cases (15.0%), unknown in 2 cases (3.3%). The duration of febrile convulsions 20 × 100 / L in 2 cases. EEG in 45 cases of 38 patients with normal and abnormal in 7 cases. 1.4 Treatment and prognosis of seizures that have not been dealing with their own relief in 13 cases, were given oxygen, such as pressing points out of l8 patients after stimulation with remission, with only shock was 29 cases of drug remission. The patients in relapse in 21 cases, including recurrence ≥ 2 times in 15 cases, the evolution of epilepsy in 2 cases. LO cases have a family history of febrile seizures, family members of patients with epilepsy l cases. 2 discussion of febrile seizures is common acute pediatric clinic, the incidence rate, prevalence rate of children 3% to 4% 【¨. Is the most common form of convulsions, status epilepticus in children but also the most common reasons. Febrile seizures also obvious genetic predisposition and gender differences. Our data show that more men than women, perhaps because girls mature earlier than boys on the brain. Epidemiological studies show that most children with febrile seizures have a good short-term and long-term prognosis. Febrile seizures are benign, but not often happen suddenly, such as the rescue is not timely or not handled properly, can lead to brain damage sequelae such as epilepsy and mental insufficiency. Febrile convulsion is a common disease in infants and young children, one often immature infant brain development,[link widoczny dla zalogowanych], cortical neurons and dendrites of neurons hypoplasia, Identification and analysis of the cortex and thus inhibit the function is poor, because of the dendritic development of neurons incomplete, the nerve axon myelin is not fully formed, excitatory impulses easy generalization, high fever cause neurological disorders, central nervous system is so over-excited state, the body temperature up to a certain extent, the brain electrical activity occurred repeatedly over more than a certain limits can be seizures convulsions. In particular,[link widoczny dla zalogowanych], incidence of fever within 24 hours of starting high, the general attack a short time, bout duration of 2-15rain, regaining consciousness after seizure remission, usually in good condition. Laboratory tests showed that the majority of febrile seizures of white blood cells within the normal range, indicating that the main non-bacterial infection. EEG findings were most of the first part of the normal attack range, attack several times or complex febrile convulsions were abnormal waves, especially those with family history of seizure history and EEG in epilepsy that there is no typical spike slow, sharp slow wave integrated . 2.1 Age of onset of febrile seizures is closely related with age, the first episode occurs in 6 months to 5 years old children. Consistent with those reported in this group, the peak incidence of 1-3 years. Febrile seizures in children age characteristics of immature brain development, brain tissue chemical composition, activity and inhibition of excitatory neurotransmitter of a dynamic

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