小儿脑损伤后癫痫的影响因素和预防治疗(附191例病例分析)  

Influencing factors and prevention of posttraumatic seizures in children:clinical analysis of 191 cases

作　　者：史志东[1] 林木田[1] 杨李轩[1] 郭英[1] 

机构地区：[1]中山医科大学附属第三医院外科

出　　处：《新医学》1998年第6期297-298,共2页Journal of New Medicine

摘　　要：目的：探讨小儿脑损伤后并发癫（ＰＴＳ）的危险因素和预防治疗的方法。方法：对１９１例脑外伤患儿的临床资料进行回顾性分析。结果：全组病人ＰＴＳ发生率为１０％。哥拉斯格昏迷评分（ＧＣＳ评分）３～８分的病人有３９％发生ＰＴＳ，而ＧＣＳ评分９～１５分的病人为４％。结论：小儿ＰＴＳ与ＧＣＳ评分３～８分相关。Objective:To study the clinical predictors and prevention of posttraumatic seizures(PTS)in children with head trauma.Method: The clinical data of 191 children with head trauma were analysed retrospectively.Results:The incidence of PTS of the total patients was 10%.38 8% had PTS in patients with GCS scores from 3 to 8 and 4% in patients with GCS scores from 9 to 15.Conclusions:In children after head trauma,GCS scores of 3 to 8 were associated with PTS,which may be prevented by prophylactic prescription of phenytoin.

关 键 词：脑损伤 癫痫 影响因素 预防 儿童 

分 类 号：R742.101[医药卫生—神经病学与精神病学]