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1.病例介绍 例1,患者,女,14岁,腹痛3天就诊,疼痛较剧烈,反复发作,疼痛持续数秒或数分钟后自行缓解,腹痛位于脐周围。发作期意识清晰,发作间歇期无任何不适。血、尿、大便常规化验检查正常,腹部B超及上消化道钡餐透视均正常。脑电图检查基本节律为9.5—10.5HZ中波幅α波,波形调节调幅佳,各区阵发短程对称,同步3—3.5HZ,140—190uv负相棘慢波综合过度换气及睁闭眼试验与上述所见基本相同。诊为腹痛性癫痫。给予抗癫痫药物治疗,2周后症状好转,脑电图检查也有所好转,嘱患者继续治疗,定期检查。
Case description 1, the patient, female, 14 years old, abdominal pain three days of treatment, more severe pain, recurrent, pain continued to relieve itself after a few seconds or minutes, abdominal pain is located around the umbilicus. A clear sense of attack, seizure intermittent without any discomfort. Blood, urine, stool routine laboratory tests were normal, abdominal B-and upper gastrointestinal barium meal were normal. The basic rhythm of EEG examination was 9.5-10.5HZ medium-amplitude alpha wave with good waveform adjustment and good short-range symmetry in each area. Synchronous 3-3.5HZ, 140-190uv negative phase spike and slow wave comprehensive hyperventilation and open-closed eyes The test is basically the same as above. Diagnosis of abdominal pain epilepsy. Give antiepileptic drugs, 2 weeks after the symptoms improved, EEG has also been improved, Zhu Huanzhe continued treatment, regular inspection.