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本组患者年龄15～73岁。病因主要为中枢神经系统感染及全身严重感染、脑血管病、脑外伤、颅内占位性病变及抗癫痫药物停服或突然换药,原因不明7例。24例为大发作持续状态,1例为局部运动性持续状态。脑脊液检查3例炎性细胞增多,2例呈血性脑脊液,5例颅内压呈轻中度增高,10例正常。头颅CT扫描(经上级医院)4例,颅内血肿1例,急性脑血管病2例,颅内肿瘤1例。 治疗:立即静推安定10～20mg,不能满意控制者半小时后重复使用;同时给予鲁米那纳0.2g肌注,每6～8小时1次;20％甘露醇250～500ml快速静滴,每6～8小时1次;氟美松每日10～30
The patients aged 15 to 73 years old. The main cause of central nervous system infection and systemic infection, cerebrovascular disease, traumatic brain injury, intracranial space-occupying lesions and anti-epileptic drugs to stop taking or suddenly change dressing for unknown reasons in 7 cases. Twenty-four patients were in the continuation of the major episode and in 1, the locomotor activity persisted. 3 cases of cerebrospinal fluid inflammatory cells increased, 2 cases of bloody cerebrospinal fluid, 5 cases of mild to moderate increased intracranial pressure, 10 cases of normal. Head CT scan (superior hospital) in 4 cases, 1 case of intracranial hematoma, acute cerebrovascular disease in 2 cases, 1 case of intracranial tumors. Treatment: Immediately push the stability of 10 ~ 20mg, can not be satisfied with the controller half an hour after repeated use; while giving 0.2g intramuscular injection of luminal sodium, once every 6 to 8 hours; 20% mannitol 250 ~ 500ml rapid intravenous infusion, Every 6 to 8 hours 1; dexamethasone daily 10 to 30