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收集30例癫痫持续状态(SE)患者的临床与实验室资料,就其临床与多系统损害对预后的影响作分析。结果:30例SE患者有高钾、钠、氯;低钠,氯,钙等多种电解质紊乱;酸硷失衡有呼酸,代酸;低O2血症等;还有高血糖,多种心律失常,高血压,肺炎等。对死亡6例的分析证明SE的多系统损害是致死的重要原因,对SE的正确处理首先是尽快控制发作;对继发性癫痫者原发病的处理亦很重要。SE的预防主要是正规服抗癫痫药。
Clinical and laboratory data from 30 patients with status epilepticus (SE) were collected and analyzed for their clinical and multisystemic impact on prognosis. Results: Thirty patients with SE had hyperkalemia, sodium and chloride; various electrolytes such as sodium, chloride and calcium were disordered; acid-base imbalances included acidosis, acidosis and hypoxaemia; and hyperglycemia, multiple heart rhythms Disorders, high blood pressure, pneumonia and so on. The analysis of 6 cases of death proved that the SE multi-system damage is an important cause of death. The correct treatment of SE is to control seizure as soon as possible; the treatment of primary disease of secondary epilepsy is also important. The prevention of SE is mainly regular anti-epileptic drugs.