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脑血管病(ACVD)是继发性癫痫(EP)常见原因。本文收集了我院内科1982～1994年11月ACVD942例,其中并发EP69例,69例中早期EP发作39例,迟发性EP30例。本文资料表明:ACVD并发EP后总的死亡率明显增加(P<0.01),其中尤以出血性ACVD差异显著,而缺血性ACVD有无EP与死亡关系不大(P>0.05)。出血性ACVD易发生早期EP发作,而早期EP发作常使病情恶化而导致患者死亡。作者同时对ACVD并发EP的机理及其治疗进行了讨论,并强调积极的预防和治疗ACVD是防止该并发症的关键。
Cerebrovascular disease (ACVD) is a common cause of secondary epilepsy (EP). This article collected our hospital from 1982 to November 1994 ACVD942 cases, including 69 cases of EP69, 69 cases of early EP attack in 39 cases, delayed EP30 cases. The data in this paper show that the overall mortality after ACVD complicated with EP significantly increased (P <0.01), especially in hemorrhagic ACVD significant difference, while there was no significant correlation between EPVD and death in ischemic ACVD (P> 0.05). Hemorrhagic ACVD is prone to early EP episodes, whereas early episodes of EP often exacerbate the condition and cause the patient to die. The authors also discussed the mechanism of ACVD complicated with EP and its treatment, and emphasized that active prevention and treatment of ACVD is the key to prevent this complication.