论文部分内容阅读
目的探讨小儿癫痫持续状态的病因、临床表现与治疗结局。方法回顾性分析15例癫痫持续状态患儿的临床资料。结果病因为癫痫者8例,病毒性脑炎4例,肾上腺皮质功能减退1例,脑瘫2例;12例为全面性发作,3例为局灶性发作;6例行常规脑电图检查,异常4例,正常2例,视频脑电图发现癫痫样放电4例;行头颅MRI检查8例,异常4例;13例经静脉注射安定、联合苯巴比妥肌内注射或水合氯醛灌肠后发作控制,1例给予丙戊酸钠静脉滴注后发作控制,1例加用氯硝基安定后抽搐停止。结论癫痫持续状态病因、临床表现形式不同,早期识别、快速有效控制发作是治疗关键。
Objective To investigate the etiology, clinical manifestations and treatment outcome of children with status epilepticus. Methods The clinical data of 15 children with status epilepticus were retrospectively analyzed. Results Etiology of epilepsy in 8 cases, 4 cases of viral encephalitis, adrenal insufficiency in 1 case, cerebral palsy in 2 cases; 12 cases of comprehensive attack, 3 cases of focal seizures; 6 cases routine electroencephalogram, 4 cases were abnormal, 2 cases were normal, 4 cases were found epileptiform discharge by video EEG, 8 cases were abnormal by MRI, 4 cases were abnormal by intravenous injection, intramuscular injection of phenobarbital or chloral hydrate enema Post-seizure control, one patient was given sodium valproate intravenous infusion control after seizure, 1 patient with chloronitrazepam seizures stopped. Conclusion The etiology and clinical manifestations of status epilepticus are different. Early identification and rapid and effective control of seizure are the key to treatment.