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患儿男,8岁。因间歇性抽搐3年,晕厥3天就诊。患儿于3年前无明显诱因出现抽搐,在当地诊断为“癫痫”,给予苯妥英钠0.1g,2次/日口服,再未发作,一年后停药。于惊吓后又抽搐两次。3天前无明显诱因出现频繁抽搐、晕厥,抽搐前5～6分钟,患儿自觉心前区不适,头晕,面色苍白,大汗淋漓,继之抽搐。抽搐时神志不清,面色青紫,牙关紧闭,上肢屈曲,偶伴大、小便失禁。每次持续约1～2分钟,自行缓解。抽搐后神志清,疲乏无力,来我院诊治。以心律紊乱待查及癫痫收住院。患儿父、母非近亲婚配,家族其他成员无类似病史。查体:精神萎靡不
Children male, 8 years old. Intermittent convulsions for 3 years, 3 days for treatment of syncope. Children with convulsions three years ago, no obvious incentive to appear in the local diagnosis of “epilepsy”, given 0.1 g of sodium phenytoin, 2 times / day orally, then no seizures, one year after withdrawal. In convulsions and convulsions twice. 3 days ago there was no obvious incentive for frequent convulsions, syncope, convulsions 5 to 6 minutes before, the child consciously precordial discomfort, dizziness, pale, sweating, followed by convulsions. Convulsions unconscious, looking bruising, teeth closed, upper limb flexion, even with the large, urinary incontinence. Each lasting about 1 ~ 2 minutes, relieve itself. After convulsions of consciousness, fatigue, weakness, to our hospital for treatment. Arrhythmia to be checked and epilepsy admitted to hospital. Children with parents, non-relatives of marriage, other members of the family without a similar history. Physical examination: apathetic not