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首页> 外文期刊>Hong Kong Journal of Paediatrics >The Relationship between Retinal Haemorrhagesand Status Epilepticus and a Literature Review of Retinal Haemorrhages in Young Children
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The Relationship between Retinal Haemorrhagesand Status Epilepticus and a Literature Review of Retinal Haemorrhages in Young Children

机译：视网膜出血与癫痫持续状态的关系及幼儿视网膜出血的文献综述

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Objective: To examine the relationship between retinal haemorrhages and status epilepticus in children under two years of age. Methods: This study involved a retrospective chart review of patients up to 24 months with status epilepticus admitted to a regional hospital in Hong Kong from 1994 to 2002. Occurrence of possible preceding events that were associated with retinal haemorrhages was recorded. These included cardiopulmonary resuscitation, head trauma, eye infection, vomiting and severe coughing bouts, evidence of raised intracranial pressure, leukaemia, arteriovenous malformation and bleeding tendencies. Retinal findings, underlying cause of status epilepticus and radiological features were also reviewed. Results: During the study period, there were 23 children aged two years or below (mean 11.7 months old; range, 30 days to 24 months) admitted with status epilepticus. They all had a complete neurological and fundoscopic examination. Twenty-two (96%) children did not have retinal haemorrhage. The only child (4%) with retinal haemorrhage had evidence of non-accidental injury. Conclusion: This study suggests that status epilepticus per se is unlikely to be associated with retinal haemorrhage in young children. If retinal haemorrhage is present, one should be alerted to the possibility of non-accidental injury.
机译：目的：探讨两岁以下儿童视网膜出血与癫痫持续状态的关系。方法：这项研究包括回顾性图表回顾，回顾性分析了1994年至2002年间在香港某地区医院住院的24个月癫痫持续状态的患者。并记录了先前发生的与视网膜出血相关的事件。这些包括心肺复苏，头部创伤，眼部感染，呕吐和剧烈咳嗽，颅内压升高，白血病，动静脉畸形和出血倾向的证据。还回顾了视网膜的发现，癫痫持续状态的根本原因和影像学特征。结果：在研究期间，有23名2岁或以下（平均11.7个月;范围为30天至24个月）的儿童患有癫痫持续状态。他们都进行了全面的神经和胃镜检查。 22名（96％）儿童没有视网膜出血。唯一的视网膜出血儿童（4％）有非意外伤害的证据。结论：这项研究表明，癫痫持续状态本身不大可能与幼儿视网膜出血有关。如果存在视网膜出血，应提醒人们意外伤害的可能性。

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