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病历摘要:患者,男,26岁。1978年开始经常发生工作时两眼发直、意识丧失,每次数分钟内即可恢复,发作时无跌倒在地、两眼上翻、四肢抽动及口吐白沫等,1979年行脑电图检查确诊为“癫痫小发作”,长期口服苯巴比妥和安定,剂量分别为每次30毫克和10毫克,每日3次。服药后癫痫发作次数明显减少,但未完全控制,故于1984年5月加服苯妥英钠,每次0.1克,每日3次,仍偶有癫痫小发作。8月14日停用安定,换丙戌酸钠(每次0.4克,每日3次)与苯巴比妥、苯妥英钠合用,16日出现手震颤、端碗不稳、嗜睡,
Medical record summary: Patient, male, 26 years old. 1978 began to work often when his eyes straighten, loss of consciousness, can be recovered within a few minutes every episode, no fall fell to the ground when the attack, his eyes upturned, limbs twitch and foaming at the mouth, 1979 EEG Check diagnosed as “epileptic seizures”, long-term oral phenobarbital and diazepam, respectively, each dose of 30 mg and 10 mg three times a day. After taking the number of seizures significantly reduced, but not completely controlled, so in May 1984 plus serving sodium phenytoin, each 0.1 grams, 3 times a day, still occasionally epileptic seizures. August 14 to disable the stability, for sodium propane sodium (0.4 grams each time, 3 times a day) with phenobarbital, phenytoin combined with hand tremor on the 16th, bowel instability, drowsiness,