熱性痙攣 Febrile seizure
編輯歷史
| 時間 | 作者 | 版本 |
|---|---|---|
| 2017-07-17 16:34 – 16:34 | r0 – r1 | |
顯示 diff+ 熱性痙攣 Febrile seizure
+ Wikipedia:WikiProject_Medicine/Translation_task_force/RTT/Simple_febrile_seizure
+
+ {{Infobox disease|
+ | Name = 熱性痙攣
+ |Image = Clinical thermometer 38.7.JPG
+ |Caption = An analog [[medical thermometer]] showing a temperature of {{val|38.8|u=°C}} or {{val|101.8|u=°F}}
+ 圖為類比式[[醫療溫度計|醫療用溫度計]]顯示體溫為{{val|38.8|u=°C}}（{{val|101.8|u=°F}}）
+ | ICD10 = {{ICD10|R|56|0|r|50}}
+ | ICD9 = {{ICD9|780.31}}
+ | MeshID = D003294
+ | OMIM = 604352
+ | DiseasesDB = 4777
+ | MedlinePlus = 000980
+ | eMedicineSubj = neuro
+ | eMedicineTopic = 134
+ }}
+
+ A febrile seizure, also known as a fever fit or febrile convulsion, is an epileptic seizure associated with a high body temperature but without any serious underlying health issue. They most commonly occur in children between the ages of 6 months and 5 years.[1] Most seizures are less than five minutes in duration and the child is completely back to normal within sixty minutes of the event.[1][2]
+ '''熱性痙攣'''（{{lang-en|febrile seizure}}），又稱作發燒性抽搐[中1]、’‘’熱性痙攣’‘’、’‘’熱性抽搐’‘’、’‘’熱性驚厥’‘’、’‘’熱性全身痙攣’‘’（{{lang-en|febrile convulsion}}）。熱性痙攣的病源，僅因為[[體溫調節|體溫過高]]而引起{{link-en|癲癇發作|Epileptic seizure}}[中2]，並無其他病因[中1]。此症最常發生在六個月到五歲的孩童[1]。大部分熱性痙攣孩童的癲癇發作時間會短於5分鐘，並在60分鐘內恢復正常[1][2]。
+
+ *文意似乎不太順，請大家指教
+ *我修了一下，感覺"without any serous underlying health issue"不好表達呀...
+ *[1]
+ *<ref name=AFP2012>{{cite journal|authors=Graves, RC with Oehler, K and Tingle, LE|title=Febrile seizures: risks, evaluation, and prognosis|journal=American family physician|date=Jan 15, 2012|volume=85|issue=2|pages=149–53|pmid=22335215}}</ref>
+ *
+ *[2]
+ *<ref name=NHS2012>{{cite web|title=Symptoms of febrile seizures|url=http://www.nhs.uk/Conditions/Febrile-convulsions/Pages/Symptoms.aspx|website=www.nhs.uk|accessdate=13 October 2014|date=01/10/2012}}</ref>
+
+ Febrile seizures may run in families. The diagnosis involves verifying that there is not an infection of the brain, there are no metabolic problems, and there have not been prior seizures that have occurred without a fever. There are two types of febrile seizures, simple febrile seizures and complex febrile seizures. Simple febrile seizures involve an otherwise healthy child who has at most one tonic-clonic seizure lasting less than 15 minutes in a 24 hour period. Blood testing, imaging of the brain or an electroencephalogram (EEG) is typically not needed for the diagnosis. Examination to determine the source of the fever is recommended. In otherwise healthy looking children a lumbar puncture is not necessarily required.[1]
+ <!--病因與診斷-->
+ 熱性痙攣可能與家族遺傳有關。其診斷需先確定患者腦部沒有受到感染、沒有{{link-en|代謝性疾病|Metabolic disorders}}、並且沒有痙攣的病史（[[發燒]]時產生的熱性痙攣除外）。熱性痙攣主要可分為兩種類型，單純的熱性痙攣與複雜的熱性痙攣。單純的熱性痙攣，是在24小時內至少發作1次{{link-en|僵直陣攣發作|Tonic–clonic seizure}}（腦組織大規模不規則放電，身體僵硬且不停抽動 [新增1])，且持續時間未超過15分鐘。診斷熱性痙攣不需用到血液檢測、大腦影像或[[腦電圖|腦電波圖]]等技術；但建議確診患者發燒的原因。此外，對於看起來健康無礙的幼兒患者，不建議採用{{link-en|腰椎穿刺|Lumbar puncture}}檢查[1]。
+ *[新增1] <ref>{{cite web | language = 正體中文 |url=http://www.dls.ym.edu.tw/neuroscience/epi_c.html |title=癲癇 |publisher=小小神經科學 |accessdate=2015-03-18}}</ref>
+ *此一reference不知道打的對不對，請各位先進指教
+ *原文在此段出現了矛盾 "There are two types of febrile seizures, simple febrile seizures and complex febrile seizures." 但在後續僅介紹了 "simple febrile seizures"，"complex febrile seizures"卻未有出現。經翻閱英文wiki後，發現其內文有更詳細的介紹："
+ *There are three types of febrile seizures.
+ *1) A simple febrile seizure is characterized by shorter duration (lasting less than 15 minutes), no focal features (meaning the shaking is general rather than restricted to a part of the body such as an arm or leg), and if they do occur in series, the total duration is less than 30 minutes (classically a generalized tonic-clonic seizure).
+ *2) A generalized febrile seizure, also known as a complex febrile seizure, is one in which the seizure lasts longer than 15 minutes or multiple episodes occur within 24 hours and generally does have focal features.
+ *3) A febrile status epilepticus is a febrile seizure that lasts for longer than 30 minutes. It can occur in up to 5% of febrile seizure cases."
+ *
+ Neither anti-seizure medication nor anti-fever medication is recommended in an effort to prevent further simple febrile seizures.[1] In the few cases that last greater than five minutes a benzodiazepine such as lorazepam or midazolam may be used.[1][3] Outcomes are generally excellent with similar academic achievements to other children and no change in the risk of death for those with simple seizures. There is tentative evidence that children have a slight increased risk of epilepsy at 2%.[1] Febrile seizures affect two to ten percent of children before the age of five.[1][4] They are more common in boys than girls.[5] After a single febrile seizure there is a 15 to 70% chance of another one.[1]
+
+ <!--預防,治療,預後及流行病學->
+ 不建議使用{{link-en|抗癲癇藥物|Anticonvulsant}}或{{link-en|退燒藥|Antipyretic}}來預防單純的熱性痙攣發生[1]。少數熱性痙攣會持續超過五分鐘，此時可使用[[苯二氮平類藥物]]，如[[蘿拉西泮]]或[[咪達唑侖]][1][3]。熱性痙攣兒童預後通常相當良好，且在學業表現與死亡率上，亦與其他兒童無異。初步研究顯示，熱性痙攣兒童罹病後，得到癲癇症的機率略增，約為2%。五歲以前的兒童，約有2%至10%得過熱性痙攣[1][4]，且男孩的比例高於女孩[5]。首次得到熱性痙攣的病患，有15-70%的機會再次復發[1]。
+
+ *"Outcomes are generally excellent with similar academic achievements to other children and no change in the risk of death for those with simple seizures." 看不懂，未翻
+ *"There is tentative evidence that children have a slight increased risk of epilepsy at 2%.[1] " 不明其意，未翻
+ *"After a single febrile seizure there is a 15 to 70% chance of another one.[1]" 不明其意，未翻
+ *[3]
+ *<ref>{{cite book|author1=Paritosh Prasad|title=Pocket Pediatrics: The Massachusetts General Hospital for Children Handbook of Pediatrics|date=2013|publisher=Lippincott Williams & Wilkins|isbn=9781469830094|page=419|url=http://books.google.ca/books?id=DbptoZipfKkC&pg=PT419}}</ref>
+ *
+ *[4]
+ *<ref name=Patt2013>{{cite journal|last1=Patterson|first1=JL|last2=Carapetian|first2=SA|last3=Hageman|first3=JR|last4=Kelley|first4=KR|title=Febrile seizures.|journal=Pediatric annals|date=Dec 2013|volume=42|issue=12|pages=249–54|pmid=24295158|doi=10.3928/00904481-20131122-09}}</ref>
+ *
+ *[5]
+ *<ref name=Ron2008>{{cite book|title=Pediatric hospital medicine : textbook of inpatient management|year=2008|publisher=Wolters Kluwer Health/Lippincott Williams & Wilkins|location=Philadelphia|isbn=9780781770323|page=266|url=http://books.google.ca/books?id=sV6-ifUGoMYC&pg=PA266|edition=2nd ed.|editor=Ronald M. Perkin}}</ref>
+ 熱性痙攣，又名發燒性抽搐[中1]、熱性驚厥，是一種幼童因為發高燒而引起的抽搐[中2]痙攣病徵，不過這種痙攣的起因跟腦癇沒有關連[中1]。
+ *[中1]
+ *<ref name=puli>{{cite web |url=http://www.pulivh.gov.tw/code_upload/HealthInfo/file1_839_2437915.pdf |publisher=[http://www.pulivh.gov.tw/ 台中榮民總醫院埔里分院] |title=認識兒童熱性痙攣 |accessdate=2012-03-03 |language=zh-hant }}</ref>
+ *[中2]
+ *<ref name=taipei>{{cite web |url=http://homepage.vghtpe.gov.tw/~ped/newpage211.htm |title=兒童的熱性痙攣 |publisher=[[台北榮民總醫院]][http://homepage.vghtpe.gov.tw/~ped/index.htm 兒童醫學部] |author=張開屏醫師 |accessdate=2012-03-03 |language=zh-hant |date=2006-01-03}}</ref>
+ 2015-03-23 已整合此篇至中文維基百科「熱性痙孿」條目
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