目的探讨儿童卒中后早期癫痫的临床特点。方法对428例卒中患儿中53例继发癫痫的临床资料进行回顾性分析。结果儿童卒中后早期癫痫的发病率为124%,卒中后癫痫的发生与病灶部位(皮层、皮层下)有明显相关性。出血性卒中以蛛网膜下腔出血多见,而缺血性卒中则以腔隙性梗死多见。结论儿童卒中后早期癫痫发病率比成人高,非癫痫持续状态预后好。 Objective To investigate the clinical features of children with early epilepsy after stroke. Methods The clinical data of 53 cases of secondary epilepsy in 428 children with stroke were analyzed retrospectively. Results The incidence of early epilepsy in children after stroke was 124%. The incidence of epilepsy after stroke was significantly correlated with the lesion site (cortex and subcortex). Hemorrhagic stroke with subarachnoid hemorrhage more common, and ischemic stroke is more common with lacunar infarction. Conclusion The incidence of early epilepsy in children after stroke is higher than that in adults, and the prognosis of non-epileptic status is good.