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分析405例癫痫患者,半数以上在儿童期发病,66.9%为全身强直发作,15.3%能找到病因,颅内炎症、脑外伤(含产伤)、高热惊厥为最常见原因,特别提出近年来本地区脑型血吸虫病癫痫发病率较高。有遗传因素者30例(7.4%)。经8年的追踪表明,41.0%控制发作,其中坚持治疗者控制49.6%,间断治疗者控制21.0%,无治疗者自然缓解率20.0%;25.9%的患者出现过并发症或留有后遗症。影响治疗和预后的因素有病因、发作类型、发病年龄、发作频率、EEG、CT变化、家族史、治疗是否及时和坚持等。
Analysis of 405 cases of epilepsy patients, more than half of the onset in childhood, 66.9% of tonic seizures, 15.3% can find the cause, intracranial inflammation, traumatic brain injury (including birth trauma), febrile seizures are the most common cause, especially Proposed in recent years, the incidence of cerebral schistosomiasis in the region higher incidence of epilepsy. There are genetic factors in 30 cases (7.4%). After 8 years of follow-up, 41.0% of the patients had control seizures, of which 49.6% were insisted on the treatment, 21.0% were on the discontinuous treatment, and 20.0% on the natural treatment; 25.9% There have been complications or sequelae. Factors affecting the treatment and prognosis are the cause, the type of attack, the age of onset, the frequency of seizures, EEG, CT changes, family history, treatment is timely and adhere to.