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目的 :分析不同类型癫持续状态 (SE)患者的临床特点及脑电图 (EEG)变化特征并观察临床疗效。方法 :对 4 0例SE患者进行临床分类并记录发作间期及发作期的EEG ,静脉注射安定进行治疗并观察其临床疗效。结果 :惊厥性SE 2 8例 ,其中强直阵挛性SE 2 4例 ,肌阵挛性发作SE 1例 ,单纯部分运动性SE 3例 ;非惊厥性SE 12例 ,其中复杂部分性SE 10例 ,不典型失神SE 2例。发作间期EEG2 5例记录到癫样放电 ;发作期EEG ,8例病人行Video -EEG监测 ,7例记录到发作期典型癫样放电 ,1例表现为募集节律。疗效 :治愈率 95 % ,死亡率 5 %。结论 :强直阵挛性SE常见 ,发作间期多可记录到癫样波形。肌阵挛性SE、非惊厥性SE临床诊断困难 ,应行Video -EEG监测 ;早期足量应用安定是安全有效的治疗措施
Objective: To analyze the clinical characteristics and EEG changes of patients with different types of epileptic seizures (SE) and to observe the clinical curative effect. Methods: 40 cases of SE patients were clinically classified and recorded interictal and exacerbation of EEG, intravenous stability for treatment and observe its clinical efficacy. Results: Septicemia SE 2 8 cases, including tonic clonic SE 4 4 cases, myoclonic seizure SE 1 cases, simple partial motor SE 3 cases; non-convulsive SE 12 cases, including complex partial SE 10 cases , Atypical absence of SE 2 cases. Epileptic discharge was recorded in 5 cases of interictal EEG2. EEG in episode and Video-EEG in 8 cases were recorded. Seven cases recorded typical epileptiform discharges during the attack, and one case showed recurrent rhythm. Efficacy: cure rate of 95%, the mortality rate of 5%. Conclusions: Tonic clonic sequelae are common in SE, and epileptiform waveforms can be recorded in seizure interval. Myoclonic SE, non-convulsive SE clinical diagnosis difficulties should be monitored by Video-EEG; adequate early application of diazepam is safe and effective treatment