mbt italia _6927 etiology of neonatal seizures

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Etiology of neonatal seizures

, Sepsis】 7 down, l3 cases of meningitis, hypocalcemia 1l down, while the rare congenital malformations and metabolic abnormalities. Birth trauma, hypoxia induced convulsions cause of the first home, in which intracranial hemorrhage and hypoxic ischemic encephalopathy accounted for 65.39, both down from the 103 caused perinatal asphyxia, birth trauma caused 50 cases. Thus, decreased birth trauma, asphyxia and intracranial hemorrhage increased the proportion. Second place is the cause of infection, followed by tetanus, sepsis, meningitis, accounting for 27.75. Where the highest incidence of tetanus, 35 cases (14.96), from rural areas, midwives are the old law that neonatal tetanus in the region is still the major cause of neonatal convulsions. * 73 * congenital malformations and metabolic step, see, only 16 down, accounting for 6.84. (B) the relevant factors in the pathogenesis of neonatal seizures 1. El onset age: 3 to 4 days after birth, seizures were starting, mainly due to birth trauma, Ying oxygen, intracranial bleeding and low blood sugar. 5 to 8 days after birth, starting seizures,[link widoczny dla zalogowanych], primarily metabolic disorders, such as low serum calcium and so on. Central nervous system infections caused by convulsions more than 5 to 7 days or 7 days or more occurred. 3 days after birth in this group fell 146 seizures (62.39), in which intracranial hemorrhage 1l7 down (50), 4 ~ l4 days only l6 down (6.8d), so 3 days is the main cause of intracranial hemorrhage. Second, oxygen ischemic Zha Ying disease, low blood sugar,[link widoczny dla zalogowanych], nuclear jaundice. Central nervous system infections such as tetanus, 35 feeding, 24 of them down, turning down the brain I3, 6 of which fell more than t in the incidence of 4 to 7 days (Table 2). Age can be inferred from the above causes of disease, seizures occur with different diseases closely related to the time varies in different diseases. 2. Perinatal factors include: premature birth, rapid production and delivery process is too long, birth trauma, asphyxia and infection, the main factors causing damage Zha asphyxia and intracranial hemorrhage 0. Section 234 of the 103 back down perinatal asphyxia occurred, accounting for 44.2, which fell intracranial hemorrhage 83 (35.4), hypoxic ischemic encephalopathy 20 actinides (8.54). 53 down with mild, moderate and severe 50 down. 62 down two factors of perinatal asphyxia, accounting for 26.5, the main factors is the mother of perinatal hypoxia and neonatal umbilical cord factors (see Table 1). No other perinatal asphyxia 8l back (34.46). It is suggested that: ① in a variety of risk factors most closely related with seizures are perinatal hypoxia asphyxia Columbia, is the leading cause of convulsive. ② factors perinatal asphyxia occurred more opportunities for more Department of seizures. ③ the more severe hypoxic asphyxia caused more severe symptoms, the occurrence of brain damage the greater the opportunity, the more weight. 3. T infection infection causes approximately 10 to cause convulsions, seizures often occurred in the second week after birth, 0 '. The group of 65 down from the infection to cause convulsions (27. '7 Cool

, Which accounted for 14.96 tetanus, as the first. Second, sepsis accounted for 7.26, accounting for 5.56 of the brain. This convulsion caused by infection 1.7 times higher than the literature, mainly the high incidence of tetanus in the region, the reason for the poor sanitary conditions, do not re Sapporo prevention. Account for this infection in the footer l. That is closely related to infection and seizures, is one of the reasons to cause convulsions. 4. Seizure type: the type and causes of neonatal seizures have a certain relationship. There Zha organic injury, general tonic seizures often occur, and metabolic disorders, the (low blood calcium, low blood sugar) is almost radiate clonic convulsions. Others such as myoclonic seizures, respiratory arrest and light emblem movement onset seizures, but also more common in Zha organic diseases. The emblem of intracranial hemorrhage in this group of small seizures and myoclonic seizures 73 back (54.89), tetanus, tonic seizures by 34 down (97. ¨),[link widoczny dla zalogowanych], low serum calcium 9 down (81.82) for clonic of the more common. Shows the different types of seizures of different etiology. 5. After Juan: different outcome of different causes, there is clamor died qualitative Zha injury thing, even if survival is also easy to produce after-effects, metabolic disorders is better after Juan. Poor prognosis of central nervous system infections. This low-calcium and low blood sugar down without a death,[link widoczny dla zalogowanych], the highest mortality rate of intracranial hemorrhage Korea, 133 killed in fall down 41 (30.83). Followed by asphyxia 2O cases, of which 6 died down (30), tetanus 35 down, 8 of them died down (22.86%), consistent with the literature. (It received of aids. I99o-J2-06)
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