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目的探讨长程录像脑电图监测在诊治儿童非惊厥性癫痫持续状态的护理配合。方法采用的录像脑电图是日本光电9200k型,根据国际10-20系统定位法安装头皮盘状电极,监测时间为24~48 h左右,做好监测前、监测中及监测后的护理配合。监测前做好头皮准备;饮食、药物及穿衣的管理;监测病床安全设置;患儿上肢穿刺留置针;备好心电监护仪等急救物品;备无菌治疗盘并用20 m L注射器抽取生理盐水18 m L加氯硝西泮2 m L。监测中做好心理护理;电极线安装及执行诱发试验;观察发作前的先兆;即刻治疗药物评价配合;抗非惊厥性癫痫持续状态及抗癫痫治疗的护理;药物不良反应预防;脑保护护理;减少仪器对脑电图干扰。监测后继续抗癫痫治疗,定期复诊。结果 3例患儿静脉推注氯硝西泮后,临床发作停止或好转,脑电图异常节律可恢复正常。结论怀疑非惊厥性癫痫持续状态患儿,通过长程录像脑电图监测患儿发作期脑电图,及时静脉推注氯硝西泮评价,护理配合到位,可以明确患儿诊断。
Objective To explore the long-range recording EEG monitoring in the treatment of children with non-convulsive status epilepticus nursing coordination. Methods The video EEG recorded by Japan Optoelectronics Model 9200k was used in this method. The scalp electrode was installed according to the International 10-20 System Positioning System. The monitoring time was about 24-48 hours, and the nursing cooperation before, during and after monitoring was well done. Prepare the scalp for monitoring; administer diet, medication and dressing; monitor bed safety settings; place the needle on the upper limb of the child; place emergency equipment such as an ECG monitor; prepare a sterile plate and draw saline with a 20 m L syringe 18 m L plus clonazepam 2 m L. Monitoring of good psychological care; electrode line installation and implementation of induced test; observe the pre-attack aura; immediate treatment of drug evaluation and cooperation; non-convulsive status epilepticus and anti-epilepsy treatment care; adverse drug reactions; cerebral protection nursing; Reduce the instrument on the EEG interference. After monitoring continue antiepileptic treatment, regular referral. Results After 3 cases of intravenous injection of clonazepam, the clinical seizures stopped or improved, and the abnormal rhythm of EEG returned to normal. Conclusion Susceptibility of non-convulsive status epilepticus in children with long-term recording of EEG monitoring of children with episodes of EEG, and timely intravenous injection of clonazepam evaluation, nursing with the place, you can clear the diagnosis of children.