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本文报告1例8岁儿童单纯性癫痫小发作,先用乙琥氨和苯巴比妥治疗无效。开始治疗11周后改用丙戊酸(钠),开始用10mg/kg以后增加到20mg/kg再30mg/kg,症状完全控制(其时丙戊酸(钠)量750mg/天),5周后病孩发生剧烈的痉挛性上腹部疼,并向背部放射,餐后加重,病前无创伤史。检查腹部有弥漫性压痛,左肋膈区触之有胸膜摩擦感。放射学检查显示左肋角有小量胸腔积液。血清淀粉酶1,200IU(正常14～80IU)。诊断急性胰腺炎。经支持疗法后3天胰腺炎症状逐渐消失。此时先后作过2次腮腺炎和支原体滴定度检查,碱性磷酸酶、SGPT、血钙、甘油三酯、胆固醇、葡萄糖、荧光抗核抗体、
This article reports a case of 8-year-old children with simple epileptic seizures, the first with ethyl succinate and phenobarbital treatment ineffective. Valproate (sodium) was switched to after 11 weeks of treatment and started to be increased from 10 mg / kg to 20 mg / kg and then to 30 mg / kg with complete symptom control (750 mg daily for valproate (sodium) Severe post-sick child spasmodic upper abdominal pain, and to the back of the radiation, postprandial aggravating, no history of pre-injury. Check the abdomen has diffuse tenderness, left pleural area touching pleural friction. Radiological examination showed a small amount of pleural effusion left corner ribs. Serum amylase 1,200 IU (normal 14 ~ 80IU). Diagnosis of acute pancreatitis. Pancreatitis symptoms gradually disappeared 3 days after supportive therapy. At this time has made 2 mumps and mycoplasma titer checks, alkaline phosphatase, SGPT, blood calcium, triglycerides, cholesterol, glucose, fluorescent anti-nuclear antibodies,