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对儿童外伤后癫痫(PTS)研究较少.作者观察了937例头部外伤的儿童,年龄范围由新生儿至16岁(平均5.5岁);92例(9.8%)出现PTS,64%为典型大发作,28.3%为限局性发作,其他型(如仅有眼球偏斜、面部歪斜伴有意识障碍)占7.6%;摔伤居多59.8%.94.5%外伤后立即或24小时内出现抽搐,外伤1周内抽搐者占97.8%(早期),1周以上抽搐者仅有2例(晚期),用Glasgow昏迷记分法(GCS)对4至16岁儿童进行记录,对新生儿至3岁儿童用儿童昏迷记分法(CCS).68例重度头外伤的儿童GCS或CCS≤8,24例(35.3%)发展成PTS,791例轻度头外伤共47例(5.9%)GCS或CCS≥13发生PTS.78例中度头外伤者(GCS_9-12)
There are few studies on posttraumatic epilepsy (PTS) in children, and the authors looked at 937 children with head trauma, ranging in age from newborn to 16 years (mean 5.5 years); PTS was found in 92 (9.8%) and 64% The major episode occurred in 28.3% of patients with exacerbation of exacerbation. Other types (such as deviation of eyeball and facial disorcation with disturbance of consciousness) accounted for 7.6% and fall injuries were 59.8% and 94.5%, respectively. Twitch occurred immediately or 24 hours after trauma. Trauma1 Weeks convulsions accounted for 97.8% (early), more than 1 week convulsions were only 2 cases (late), with Glasgow Coma Scoring (GCS) for children aged 4 to 16 years of recording, neonatal to 3-year-old children with children Coma scoring system (CCS) .68 children with severe head trauma had GCS or CCS ≤8,24 cases (35.3%) developed PTS, 79 cases (79%) had mild head injury (GCS) or CCS ≥13 PTS .78 cases of moderate head injury (GCS_9-12)