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癫痫病人意外和难以解释的死亡约占癫痫病死亡的4~30%,死因至今未完全弄清。作者对1969~1973年某地作过尸检的37个这种死亡病例进行研究。病例根据以下标准选出: (1)从家属或亲友那里得知有癫痫病史。(2)尸解无急性心肌梗死,新近的冠状动脉栓塞或类似的严重心脏疾病;口腔、咽喉、气管、支气管和肺无异物吸入;也无外伤。(3)尸解采集的组织和血液标本检查不能揭示形态学、化学或毒理学的证据来恰当地解释死因。(4)曾测定过尸体血苯妥因钠和苯巴比妥浓度。(5)不是在医院内死亡的。(6)根据目睹者或现场检查者的报告确定不是癫痫持续
Epilepsy patients accidental and unexplained deaths accounted for about 4 to 30% of epilepsy deaths, the cause of death has not yet fully understood. The authors studied 37 such deaths from an autopsy conducted in a certain area from 1969 to 1973. The cases were selected according to the following criteria: (1) There was a history of epilepsy from family member or relatives. (2) autopsy without acute myocardial infarction, recent coronary embolism or similar serious heart disease; no foreign body buildup in mouth, throat, trachea, bronchus and lung; no trauma. (3) Tissue collected from autopsy and blood specimen examination can not reveal morphological, chemical or toxicological evidence to properly explain the cause of death. (4) had measured the body’s blood phenytoin sodium and phenobarbital concentrations. (5) is not in hospital died. (6) According to the report of the witness or field examiner, it is determined that epilepsy is not sustained