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1例16岁女性进行性肌阵挛癫痫患者,口服苯妥英钠0.15 g、1次/12 h治疗1周后出现非惊厥性癫痫持续状态,脑电图呈全导持续性棘慢波节律。7周后入我院,立即将苯妥英钠减量至0.05 g,2次/d,2 d后停用,同时给予患者丙戊酸钠0.3 g,1次/8 h;氯硝西泮1 mg,1次/12 h;左乙拉西坦0.25 g,1次/12 h。治疗第3天患者肌阵挛发作消失,治疗第6天脑电图示散在棘慢波、慢波,住院12 d,病情平稳出院。
One case of 16-year-old female patients with progressive myoclonic epilepsy, phenytoin 0.15 g orally, 1/12 h treatment for 1 week after non-convulsive status epilepticus, electroencephalogram showed all-around persistent spine and slow wave rhythm. 7 weeks later, they were given sodium nitroprusside 0.3 g once a day for 8 days, and chlorpromazine 1 mg , Once / 12 h; levetiracetam 0.25 g, once / 12 h. On the third day after treatment, myoclonic seizures disappeared. EEG on the sixth day of treatment was sporadic and slow wave, slow wave and hospitalization for 12 days, and the patient was discharged smoothly.