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目的分析脑梗死继发癫痫发作病患的临床诊治情况。方法以我院2011年1月份至12月份住院部收治的60例确诊是脑梗死癫痫发作病患作为研究对象,采用回顾性地分析方法对所有病患的有关临床诊治资料展开分析与总结。结果临床上,脑梗死继发癫痫发作,早期发作40例,占66.7%。晚期发作20例,占33.3%;主要是以强直性的阵挛发作最为多见;早期发作的相关脑电图表现是局限性有显著的慢活动以及痫样放电。迟发性癫痫发作的脑电图是痫样放电。发生脑梗死的位置和癫痫的发生有密切关系,多是脑叶梗死。结论临床上,应用脑电图诊断脑梗死继发癫痫发作,诊断率高,能为临床治疗提供可靠依据,具有很高的临床价值,值得在临床上进一步推广使用。
Objective To analyze the clinical diagnosis and treatment of patients with seizures secondary to cerebral infarction. Methods Sixty patients diagnosed as cerebral infarction with seizure admitted to our inpatient department from January to December in 2011 were studied retrospectively to analyze and summarize the clinical diagnosis and treatment data of all patients. Results Clinically, cerebral infarction secondary to seizures, early onset in 40 cases, accounting for 66.7%. 20 cases of advanced seizures, accounting for 33.3%; mainly the most common ankylosing myoclonic seizures; early seizures related to the performance of EEG is a significant limitation of slow activity and epileptiform discharges. EEG of delayed seizures is epileptiform discharge. The location of cerebral infarction and the occurrence of epilepsy are closely related, mostly cerebral lobar infarction. Conclusions Clinically, the application of EEG diagnosis of seizures secondary to cerebral infarction, the diagnosis rate is high, which can provide a reliable basis for clinical treatment, has a high clinical value, it is worth further promotion in clinical use.