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小儿惊厥病因甚多,因蛔虫诱发惊厥的报道甚少。我院收治28例患儿中男20例,女8例;年龄3～5岁12例,～7岁14例,～13岁2例。来自农村20例,城镇8例。症状:惊厥28例,腹痛28例。大便找到蛔虫卵20例,脑脊液检查18例,压力略高,潘氏试验(±),细胞数、糖及氯化物均正常。颅脑CT检查2例亦正常。治疗:(1)驱虫用左旋米唑3mg/kg。1次顿服;(2)导泻:必要时清洁灌肠;(3)镇静止痉;(4)激素治疗:10％葡萄糖液200～500ml加地塞米松2mg,维生索C1g静滴,1次/d。结果:28例均痊愈。蛔虫引起惊厥的原因:蛔虫尤其是腐烂虫体可释
Etiology of pediatric convulsions, convulsions induced by roundworms few reports. Twenty cases were treated in our hospital, including 20 males and 8 females; 12 patients aged 3 to 5 years, 14 patients aged 7 years and 2 patients aged 13 years. From rural areas in 20 cases, towns and 8 cases. Symptoms: convulsions in 28 cases, abdominal pain in 28 cases. Stool found ascaris eggs in 20 cases, 18 cases of cerebrospinal fluid examination, the pressure slightly higher, Pan test (±), cell number, sugar and chloride were normal. 2 cases of brain CT examination is normal. Treatment: (1) deworbing with levodazole 3mg / kg. 1 Day service; (2) Catharsis: clean enema if necessary; (3) sedative and antispasmodic; (4) hormone therapy: 10% glucose solution 200 ~ 500ml plus dexamethasone 2mg, / d. Results: All 28 cases were cured. Roundworms cause convulsions: roundworms, especially rotten worms can be released