论文部分内容阅读
目的总结氟乙酰胺中毒的主要临床特征 ,并初步探讨其与原发性癫的鉴别要点。方法对 2 3例氟乙酰胺中毒患儿的临床资料进行回顾性分析。结果 2 3例均急性起病 ,且均以频繁抽搐为主要临床特征和主诉就诊 ,心肌酶谱均显著异常。乙酰胺治疗有特效 ,用药 3天内控制发作者 2 2例 ,10天内控制 1例。痊愈 2 2例 ,死亡 1例 ,死因为房室传导阻滞 ( 度 )。结论突发的频繁抽搐同时心肌酶谱显著异常 ,是氟乙酰胺中毒的主要临床特征 ,在误服史不详时二者同时存在对诊断极有价值 ,这也是与原发性癫鉴别要点之一。乙酰胺试验性治疗能迅速控制抽搐发作 ,有助于本病的诊断
Objective To summarize the main clinical features of fluoroacetamide intoxication and to explore the main points of identification of primary epilepsy. Methods The clinical data of 23 children with fluoroacetamide intoxication were analyzed retrospectively. Results All 23 cases were acute onset, and all had frequent convulsions as the main clinical features and complaints. The myocardial enzymes were significantly abnormal. Acetamide treatment with special effects, drug control within 3 days of onset of 22 cases, 10 days control in 1 case. 22 cases were cured, 1 died, the cause of death is atrioventricular block (degrees). Conclusions Frequent convulsions and abnormal myocardial enzymes are the main clinical features of fluoroacetamide poisoning. The coexistence of both of them is of great value in the diagnosis when the history of misdiagnosis is unknown. This is also the point of identification with primary epilepsy one. Acetamide experimental treatment can quickly control seizures, contribute to the diagnosis of the disease