目的　探讨中风后癫痫发作的临床特点及治疗原则。方法　回归分析 4 8例中风后癫痫发作的临床特点、发作类型及治疗方法等临床资料。结果　本组病例中风后癫痫的发生率 5 9% ,早期癫痫发作4 % ,晚发癫痫 1 9% ,中风后癫痫与脑中风类型及病灶位置有显著相关性 ,出血性脑中风及病灶位于皮质内者癫痫发病率高于缺血性脑中风及病灶位于皮质下者。脑水肿是早期癫痫发作的重要致病因素。结论　脱水、抗惊厥及抗癫痫综合治疗是控制中风后继发性癫痫的有效方法 Objective To investigate the clinical features and treatment principles of post-stroke epileptic seizures. Methods The clinical data of 48 epilepsy seizures, seizure types and treatment methods were retrospectively analyzed. Results The incidence of epileptic seizures in this group was 59%, 4% in early seizures and 19% in late epilepsy. There was a significant correlation between epilepsy after stroke and the type of stroke and the location of the lesions. Hemorrhagic stroke and lesions were located in the cortex The incidence of epilepsy within the ischemic stroke and focal lesions located in the cortex. Brain edema is an important causative agent of early seizures. Conclusion Dehydration, anticonvulsant and anti-epilepsy combined therapy is an effective method to control post-stroke secondary epilepsy