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目的探讨自发性脑出血继发性癫痫间的临床特征。方法回顾性分析783例自发性幕上性脑出血患者的临床资料,调查脑出血后癫痫间的发生率、发生时间、发作类型、脑电图检查及抗癫痫间药物治疗情况。分析继发性癫痫间与脑出血部位及并发症等因素的相关性。结果脑出血继发性癫痫间的发生率为10.47%。癫痫间的发作与脑叶出血和并发再出血呈显著的相关性,颞叶出血后癫痫间的发生率高,脑电图对诊断有一定的参考价值,早发性癫痫间治疗效果较好。结论脑出血后多种因素均可影响继发性癫痫间的发作,加强对原发病的治疗,加强检测,积极防治并发症,可减少癫痫间的发生率并改善脑出血的预后。
Objective To investigate the clinical features of secondary epilepsy in patients with spontaneous intracerebral hemorrhage. Methods The clinical data of 783 patients with spontaneous supratentorial intracerebral hemorrhage were retrospectively analyzed. The incidence of epilepsy after intracerebral hemorrhage, the time of onset, the type of seizure, the electroencephalogram (EEG) and the medication of anti-epilepsy were investigated. Analysis of secondary epilepsy and cerebral hemorrhage site and complications and other factors. Results The incidence of secondary epilepsy after intracerebral hemorrhage was 10.47%. Epileptic seizures and lobar hemorrhage and concurrent rebleeding was significantly correlated with the incidence of epilepsy after temporal lobe hemorrhage, EEG diagnosis of certain reference value, the treatment of early epilepsy is better. Conclusions Various factors after intracerebral hemorrhage can affect the seizure of secondary epilepsy, strengthen the treatment of primary disease, strengthen the testing, and actively prevent and treat complications. It can reduce the incidence of epilepsy and improve the prognosis of cerebral hemorrhage.