癫痫大发作是流行性出血热(EHF)患者中枢神经系统的严重并发症,其来势凶猛,病情凶险,变化多端,病死率高。本文将近6年诊治的30例报道如下。 1临床资料 1.1一般资料:本组男16例,女14例。年龄9—57岁,其中20—50岁20例。全部病例均否认癫痫史,均按1986年全国EHF会议的诊断及分期分型标准,并经EHF—IgM证实。其中危重型17例,重型13例,病程4—18日。发热期1例,发热+低血压休克期+少尿2例,少尿期6例,移行期10例,多尿期11例。 1.2临床表现:头痛25例,头晕25例,恶心及呕吐20例,腹泻3例,高热3例,咳粉红色泡沫痰2例,黄色脓性痰1例,烦躁不安15例,谵语11例,视物模糊6例。高血压24例,其中舒张压高于14.7KPa16例。血压为零2例,脉搏40—60次/分13例,140—180次/分3例。神志不清2例,呼吸深大2 Epileptic seizures are a serious complication of the central nervous system in patients with epidemic hemorrhagic fever (EHF), with a ferocious, dangerous and varied condition and a high case fatality rate. This article nearly 6 years diagnosis and treatment of 30 cases are reported as follows. 1 Clinical data 1.1 General Information: The group of 16 males and 14 females. Aged 9-57 years old, of which 20-50 years old in 20 cases. All cases deny the history of epilepsy, according to the 1986 national EHF conference diagnosis and classification criteria, and confirmed by EHF-IgM. Among them, 17 cases were critically ill, 13 cases were heavy and the course was 4-18 days. 1 case of fever, fever + hypotension in shock + 2 cases of oliguria, oliguria in 6 cases, 10 cases of transitional period, polyuria in 11 cases. 1.2 Clinical manifestations: headache in 25 cases, 25 cases of dizziness, nausea and vomiting in 20 cases, 3 cases of diarrhea, fever in 3 cases, cough pink foam sputum in 2 cases, yellow suppurative sputum in 1 case, restlessness in 15 cases, 6 cases of blurred vision. Hypertension in 24 cases, including diastolic blood pressure higher than 14.7KPa 16 cases. 2 cases of zero blood pressure, pulse 40-60 times / min 13 cases, 140-180 beats / min 3 cases. 2 cases of delirium, deep breathing 2