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目的了解对癫痫并发脑膜炎患者的治疗和治疗药物监护,掌握癫痫症状加重的诱因,做到合理诊断合理治疗,减少误诊误治。方法对1例癫痫并发脑膜炎患者的治疗和治疗药物监护,通过降低颅内压,抗感染、抗癫痫治疗,观察治疗效果。结果该患者继续服用卡马西平,最终病情明显得到控制,再治疗1周患者康复出院。结论癫痫持续状态与联合用抗癫痫药物无关,而是与诱发癫痫高频放电的炎症有关。
Objective To understand the treatment of epilepsy patients with meningitis and treatment of drug monitoring, to seize the incentive to aggravate the symptoms of epilepsy, so that a reasonable diagnosis of reasonable treatment to reduce misdiagnosis and mistreatment. Methods One case of epilepsy with meningitis in patients with treatment and treatment of drug monitoring, by reducing intracranial pressure, anti-infection, anti-epileptic treatment, to observe the therapeutic effect. Results The patient continued to take carbamazepine, the final condition was clearly controlled, and 1 week after treatment, patients were discharged. CONCLUSIONS: Status epilepticus is not associated with antiepileptic drugs, but rather with inflammation induced by high-frequency discharge of epilepsy.