肝硬化并癫痫持续状态1例  

Status epilepticus in cirrhosis patients: A case report

作　　者：张校双[1] 王启荣[1] 乔富平 

机构地区：[1]解放军第251医院感染疾病科,河北张家口075000

出　　处：《临床急诊杂志》2014年第1期53-54,共2页Journal of Clinical Emergency

摘　　要：肝硬化是各种原因引起的慢性、进行性、弥漫性肝病,失代偿期肝硬化临床主要并发症是肝性脑病、上消化道出血、原发性腹膜炎、肝肾综合征、肝肺综合征等,而并发癫痫持续状态者临床罕见。2012年6月我科收治1例肝硬化肝性脑病并癫痫持续状态患者,现报告如下。患者,男,49岁。主因＂腹胀、双下肢水肿1周,嗜睡1 d伴全身抽搐3次＂于2012-06-11入院。患者有明确的肝炎后肝硬化失代偿期病史,无脑外伤史、无癫痫病史及癫痫病家族史,自2008年始曾多次因肝性脑病、消化道出血、顽固性腹水在我科住院治疗。此次发病于入院前1 d出现多睡,但呼之能应,入院前3 h内曾出现3次全身抽搐。The patient had definite posthepatitic cirrhosis history. He presented with three generalized seizure,vomiting white foam,locked jaw,incontinence of urine. The symptoms lasted approximately 1 to 3 minutes and can make selfrelief. Emergent brain CT scan revealed normal. Liver function was mildly abnormal. Blood ammonia was mildly abnormal. The patient had similar generalized seizure in 5 hour after admission. The symptoms last approximately 3 minutes. Subsequently,the patient had multiple further generalized seizure,opisthotonus,respiration ceases in period of onset. The symptoms break out every 20 minute and last approximately 3 to 5 minutes. Bedside,electroencephalogram revealed multiple spike and slow wave complex. The patient were diagnosed with liver cirrhosis,hepatocerebral disease and epileptic state.

关 键 词：肝硬变 肝性脑病 癫痫持续状态 

分 类 号：R575.2[医药卫生—消化系统]