脑出血后早发性癫癎发作临床特点分析  

Early epileptic seizures after intracerebral hemorrhage:a retrospective study

作　　者：丛时兵[1] 魏咏梅[1] 韩咏竹[2] 

机构地区：[1]安徽省濉溪县医院,235100 [2]安徽中医学院神经病学研究所

出　　处：《安徽医学》2009年第3期300-302,共3页Anhui Medical Journal

摘　　要：目的探讨脑出血后早发性癫癎发作的临床特点。方法对1288例确诊为脑出血患者的临床资料进行回顾性研究。结果脑出血后早发性癫癎发作的发生率为8.31%;男性的发生率(8.61%)略高于女性(7.88%)(P>0.05);婴幼儿及未成年人组的发生率为31.58%,显著高于成年人组的9.29%(P<0.01)和老年人组的7.30%(P<0.01),成年人组略高于老年人组(P>0.05);脑叶出血的发生率为17.86%,其它部位出血的发生率为6.88%(P<0.01);早发性癫癎发作作为脑出血首发症状者占21.50%,6小时内出现者占40.19%,24小时内出现者占58.88%,48小时内出现者71.03%,1周内出现者占91.59%,仅有8.41%在第2周出现;局灶性发作占57.01%,全面性发作占42.99%;伴有早发性癫癎发作患者的病死率为41.12%,不伴有者为30.65%,差异有统计学意义(P<0.05)。结论脑出血后早发性癫癎发作较为常见,婴幼儿及未成年人发生率高,与出血部位有密切关系,以局灶性发作为主,多见于出血后1周内,抗癫癎治疗有效,但临床预后较差。Objective To explore the clinical features of early epileptic seizures (EES) after intracerebral hemorrhage (ICH).Methods To study retrospectively the clinical materials of 1288 patients who have been diagnosed to have an ICH.Results The incidence of EES after ICH is 8.31%; the incidence among the female, which is 7.88%, is lower than that among the male, which is 8.61% (P>0.05). The incidence among infants and juveniles is 31.58% and is obviously higher than that among the adult, which is 9.29% and the ...

关 键 词：脑出血 早发性癫癎发作 回顾性研究 

分 类 号：R743.3[医药卫生—神经病学与精神病学]