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目的 分析癫痫持续状态导致多系统损害的临床特征。方法 收集 1980年 11月～ 2 0 0 3年 4月住院的 4 2例癫痫持续状态多系统损害的患者 ,其中特发性癫痫 1例 ,症状性癫痫 4 1例 ,全身强直 阵挛发作 4 1例 (97.6 % ) ,全身强直性发作 1例。分析患者多系统损害情况。结果 4 2例患者中 2个系统损害 2 0例(47.6 % ) ,3个系统损害 10例 (2 3.8% ) ,4个系统损害 8例 (19.1% ) ,5个系统损害 1例 (2 .4 % ) ,6个系统损害 2例 (4.8% ) ,7个系统损害 1例 (2 .4 % )。功能衰竭器官中肺为首发脏器 ,共 6例 ,占 14 .3%。死亡 3例 ,病死率为 7.1%。结论 癫痫持续状态致多系统损害多发生于全身强直 阵挛发作 ,以 2个系统同时受累者居多 ,脏器衰竭以肺最为常见。
Objective To analyze the clinical features of multiple system damage caused by status epilepticus. Methods Forty-two patients with multiple system damage in status epilepticus admitted in hospital from November 1980 to April 2003 were collected, including 1 case of idiopathic epilepsy, 41 cases of symptomatic epilepsy and 4 cases of generalized tonic-clonic seizure Cases (97.6%), systemic tonic attack in 1 case. Analysis of patients with multiple system damage. Results Two of the 42 patients had 20 cases (47.6%) of the total system damage, 10 of the 3 systems (2 3.8%), 4 of the 8 systems (19.1%) and 5 of the systems (1). 4%), 6 systems damaged in 2 cases (4.8%) and 7 systems damaged in 1 case (2.4%). Fetal organ failure organs as the first organ, a total of 6 cases, accounting for 14.3%. 3 died, the case fatality rate was 7.1%. Conclusions The multiple system damage caused by status epilepticus mostly occurs in the whole body tonic clonic seizures. Most of the patients were affected by both systems at the same time. The most common organ failure was lung.