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目的探讨部分性癫持续状态的诊断和治疗。方法对本院癫中心收治的3例部分性癫持续状态的诊断和抗癫药物的选择进行分析。结果托吡酯、卡马西平对于部分性癫持续状态疗效显著。结论部分性癫持续状态的诊断及鉴别诊断不仅依靠发作期的视频脑电监测,其他因素诸如以往确定的癫发作、睡眠中发作、发作间期样放电等同样重要。部分性癫持续状态的治疗要注意用药的风险和疗效平衡。口服抗癫药物的合理选择可以完全控制部分性癫持续状态。
Objective To investigate the diagnosis and treatment of partial status epilepticus. Methods The diagnosis of partial status epilepticus and the selection of antiepileptic drugs in the epilepsy center of our hospital were analyzed. Results topiramate, carbamazepine for partial epilepsy sustained state of significant effect. Conclusion The diagnosis and differential diagnosis of partial status epilepticus depend not only on the video EEG monitoring during the attack period, but also on other factors such as epileptic seizures, episodes of sleep during sleep episodes, and discharges during interictal seizures. Partial epilepsy sustained state of treatment should pay attention to the risk of medication and the balance of treatment. A reasonable choice of oral antiepileptic drugs can completely control the partial status epilepticus.