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患者,男,24岁,战士。经确诊为原发性癫痫已2年余,脑电图符合癫痫改变,头颅CT未见占位性病变。近2个月来病情加重,每日发作3～4次。1991年5月7日,病人癫痫又发作,24h周身抽搐20余次,经用苯妥因钠、苯巴比妥钠、针灸等效果不佳,次日病人呈癫痫持续状态,神志不清,口吐白沫,二便失禁。遂用复方冬眠灵,扑痫酮、水合氯醛等治疗后未见抽搐减轻。2h后给安定40mg静注,抽搐立即减轻,而后用安定40mg加入500ml液体持续静点,根据抽搐程度调节滴速,3h后抽搐基本停止,此时安定总量已达120
Patient, male, 24 years old, warrior. The diagnosis of primary epilepsy has more than 2 years, EEG consistent with changes in epilepsy, head CT no occupying lesions. In the past two months the condition worsened, attacked 3 to 4 times a day. May 7, 1991, patients with seizures and seizures, 24h whole body twitching more than 20 times, by phenytoin sodium, phenobarbital sodium, acupuncture and other poor results, the next day the patient was status epilepticus, confusion, Spit foam at the mouth, second incontinence. Then compound winter sleep Ling, epilepsy ketone, chloral hydrate and other treatment did not convulsions to reduce. 2h after diazepam 40mg intravenous injection, twitching immediately reduced, and then with stability 40mg added 500ml liquid constant static point, adjust the drip rate according to the degree of convulsions, convulsions basically stopped after 3h, this time the total amount of stability has reached 120