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成人首次癫痫发作后临床经常遇到的问题有:多少人今后还会出现发作?哪些因素与复发有关? 多少患者的首次发作有明确的病因?进行哪些检查合适?本文为这些问题提供了某些答案.患者408例,年龄16岁以上,均为首次癫痫发作.首次就诊时详细询问首次发作的情况及有关资料如热性惊厥或癫痫的家族史、头部外伤史等,进行EEG、头部CT、头及胸部X光、血常规、钙、葡萄糖、肝功等检查.每年随访时询问有无复发及发作类型,是否服用抗惊厥药,是否已做出某些神经疾病如神经胶质瘤的诊断等.资料用计算机进行统
Some of the most common clinical problems that occur after the first seizure in adults are: How many people will have an episode in the future? What factors have been associated with relapse? How many patients have a definite etiology for the first episode? Which tests are appropriate? This article provides some of these questions Answer: 408 patients, aged over 16, are the first epileptic seizures when the first visit asked in detail about the first episode and relevant information such as febrile seizures or family history of epilepsy, head trauma history, the EEG, the head CT, head and chest X-ray, blood routine, calcium, glucose, liver function, etc. Every year follow-up asked whether the type of recurrence and seizure, whether to take anticonvulsant drugs, have made some neurological diseases such as gliomas Diagnosis, etc. Data using a computer system