摘要
目的探讨成人癫持续状态的病因及诱发因素。方法对48例成人癫持续状态患者的临床资料进行回顾性分析。结果大多数癫持续状态(38例)由继发性癫所致,常见病因包括脑血管病(14例)、脑外伤(10例)和病毒性脑炎(8例)等。既往有癫史的32例患者中,常见的诱因有停药或换药(14例)、感染(8例)、过度劳累(3例)等。经积极治疗后45例患者得到有效控制,3例患者死亡,均为继发性癫,病死率为6.25%。结论脑血管病是成人癫持续状态最常见的病因,有癫史的患者停药或换药是最常见的诱因。尽早明确病因,及时治疗可以提高抢救成功率。坚持服药,减少各种不良诱因是预防本病的关键。
Objective To investigate the etiology and inducing factors of status epileptics（SE） in adults.Methods Clinical data of 48 adult patients with status epileptics were analyzed retrospectively.Results The majority of SE in adults（38 cases） was caused by secondary epilepsy,the major causes of SE in adults were cerebrovascular disease（14 cases）,head trauma（10 cases）and viral encephalitis（8 cases）.The three leading inducing factors in those with preexisting seizure were anticonvulsant drug withdrawal（14 cases）,infection（8 cases） and over fatigue（3 cases）.Of all the 48 cases of SE,45 patients were under complete control after active treatment,3 patients died and the fatality was 6.25%.Conclusion Cerebrovascular disease is the most common cause of SE in adults and anticonvulsant drug withdrawal is the major cause in adult patients with preexisting epilepsy.Early diagnosis and timely cure may improve the rate of success of salvage.The key to prevention of SE is taking medicine as directed and avoiding all kinds of the inducing factors.
出处
《中国实用神经疾病杂志》
2010年第4期5-7,共3页
Chinese Journal of Practical Nervous Diseases
关键词
癫持续状态
成人
病因
预后
Status epileptics
Adult
Etiology
Prognosis
