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癫痫持续状态(SE)或称癫痫状态,是癫痫连续发作之间意识尚未完全恢复又频繁发作,或癫痫发作持续30分钟以上未自行停止。癫痫状态是神经内科常见急危症,若不及时治疗可因高热、循环衰竭、电解质紊乱或神经元兴奋毒性损伤导致永久性脑损害,致残率和死亡率均很高。癫痫各个发作类型均可见持续状态,最常见为全身强直一阵挛性发作状态,0.5%~1%有癫痫病史的患者每年将有1次癫痫状态,约为每年癫痫状态患者的1/3;估计1/4的癫痫状态患者为非惊厥性,其中以失神状态最为常见。因此早期诊断和终止发作是抢救成功的关键。我科自2008年1月~2013年1月共收治癫痫持续状态37例,现将治疗体会总结报告如下。临床资料1一般资料:37例中,男26例,女11例,年龄12~68岁,平
Status epilepticus (SE), or state of epilepsy, is a condition in which episodes of seizures have not yet fully recovered and frequent episodes of seizures, or seizures have not stopped on their own for more than 30 minutes. Epilepsy is a common acute neurological disease, if not treated in time due to high fever, circulatory failure, electrolyte imbalance or neuronal excitotoxic damage caused permanent brain damage, morbidity and mortality are high. Epilepsy seizure type can be seen in all the sustained state, the most common tonic-clonic seizures state, 0.5% to 1% of patients with a history of epilepsy will have a state of epilepsy once a year, about every year in patients with epilepsy 1/3; One quarter of patients with epilepsy were nonconvulsive, with the most common being in the state of absence. Therefore, the early diagnosis and termination of the attack is the key to the success of the rescue. Our department from January 2008 ~ January 2013 were treated 37 cases of status epilepticus, now the treatment summary report is as follows. Clinical data 1 General information: 37 cases, 26 males and 11 females, aged 12 to 68 years old, flat