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癫痫持续状态合并多脏器功能衰竭的临床及预后 被引量:6

Clinical features and prognosis of status epilepticus complicated with multiple organic failure
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摘要 目的 分析癫痫持续状态 (SE)合并多脏器功能衰竭(MOF)临床特征及预后。方法 根据Fry及陈德昌对MOF的诊断标准 ,对近 10年中 181例SE病人进行分析。结果 6 0例 (33 2 % )SE病人合并MOF ,病死率为 30 %。多发生于儿童 ,均见于全身强直阵挛发作且难以控制 ,首发及多发脏器以肺、心、肾等常见 ,3~ 4个脏器同时受累居多。≥ 5个脏器损害时 ,病死率高达 10 0 %。 Objective To analyse the clinical features and prognosis of status epilepticus(SE) complicated with in multiple organic failure (MOF). Methods One hundred and eighty one patients with SE in the last ten years were analysed according to Frys and Chen Dechangs criteria of MOF. Results Sixty patients (33 2%) were accompanied by MOF, and mortality was 30%. MOF was most common in children and in generalized convulsive status epilepticus(GCSE) failure of control.The organs, involved first and often more, were lung, heart and kidney. Conclusion The prognosis of SE complicated with MOF was poor. Doctors should pay good attentions to these patients whose under 14 years and with GCSE difficultly controlled.
出处 《安徽医科大学学报》 CAS 2000年第6期457-458,共2页 Acta Universitatis Medicinalis Anhui
关键词 癫痫持续状态 多器官功能衰竭 预后 并发症 status epilepticus multiple organ failure prognosis
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参考文献2

  • 1陈德昌.多器官功能衰竭综合征的诊断与发病机理探讨[J].中华医学杂志,1988,68(4):226-226.
  • 2张振磬 冯应琨.癫痫持续状态100例临床分析[J].中华神经精神科杂志,1981,14(2):139-141.

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