儿童癫痫持续状态的临床特征及治疗探讨  

Approach clinical feature and therapy of children with status epilepticus

作　　者：周雪典[1] 

机构地区：[1]徐州医学院第二附属医院儿科,221006

出　　处：《中外妇儿健康（学术版）》2011年第4期64-65,共2页

摘　　要：目的:探讨小儿癫痫持续状态的病因、临床特点及治疗原则,提高对本病的认识。方法:回顾性分析2008年2月至2010年6月我院儿科37例癫痫持续状态患儿的临床资料。结果:中枢神经系统感染、急性中毒、原发性癫痫为癫痫持续状态的主要病因。苯妥英钠、苯巴比妥、利多卡因对惊厥发作控制率相近,而硫喷妥钠的控制率明显较高。本组37病例中,其中24例好转,8例一周后完全控制发作,5例治疗无效。结论:了解不同的发作类型,合理规范的治疗,可明显降低癫痫持续状态的致残率扣死亡率,改善患儿预后。Objective：To approach the etiological factors,clinical features and therapeutic principle of status epileptics in children.Methods：The data of 34cases with status epileptics in children were analyzed retrospectively,form February 2008to Ju 2010in pediatnic.Results：Central Nervous System Infections and acute poisoning and essential epilepsy were principal cause of status epileptics.all paradigm were administrated utility and sufficient anticonvulsant drugs as soon as quickly,and 24cause discharge from hospital after healing,8cause of condition were significantly relieved in a week.but 5cases were treatment furility Conclusion：Status epilepticus should be treated by performance severity and eilergetic therapeutic principle,intensive care,supported and symptomatic treatment.Mutilation and mortality rate will he decreased obviously and the prognosis will be ameliorated.

关 键 词：儿童 癫痫持续状态 抗惊厥药物 治疗 

分 类 号：R748[医药卫生—神经病学与精神病学]