1例癫痫并发脑膜炎患者的治疗药物监护体会  

Experience of drug monitoring for 1 epilepsy complicated with meningitis patient

作　　者：黄小海[1] 

机构地区：[1]海南省第二人民医院,572299

出　　处：《中国实用医药》2016年第17期222-223,共2页China Practical Medicine

摘　　要：目的了解对癫痫并发脑膜炎患者的治疗和治疗药物监护,掌握癫痫症状加重的诱因,做到合理诊断合理治疗,减少误诊误治。方法对1例癫痫并发脑膜炎患者的治疗和治疗药物监护,通过降低颅内压,抗感染、抗癫痫治疗,观察治疗效果。结果该患者继续服用卡马西平,最终病情明显得到控制,再治疗1周患者康复出院。结论癫痫持续状态与联合用抗癫痫药物无关,而是与诱发癫痫高频放电的炎症有关。Objective To understand treatment and drug monitoring for epilepsy complicated with meningitis patients, and inducements of exacerbated epilepsy symptoms, to implement rational diagnosis and treatment, and to reduce misdiagnosis. Methods Monitoring was made on treatment and drug for 1 epilepsy complicated with meningitis patient, which included decreasing intracranial pressure, anti-infection and antiepileptic therapy. Curative effect was observed. Results Continuous administration of carbamazepine showed obviously controlled disease, and the patient was discharged after 1 further week of treatment. Conclusion Status epilepticus is not related with combined implement of antiepileptic drug, while it contains relationship with inflammation inducingepilepsy high-frequency discharge.

关 键 词：癫痫 脑膜炎 治疗药物监护 

分 类 号：R742.1[医药卫生—神经病学与精神病学]