Willmore L J
Geriatrics. 1976 Jun;31(6):112-4.
Convulsions in elderly patients result from systemic biochemical or focal structural processes. These patients require a thorough evaluation, because idiopathic seizures are virtually unknown in this age group. Marginal circulatory and pulmonary function compromises central nervous system function, which can result in prolonged postictal coma. Furthermore, the patient's fragility can coma. Furthermore, the patient's fragility can complicate anticonvulsant therapy. The physician must be prepared to support the patient in prolonged postictal coma, since many patients can recover the preictal level of function.
老年患者的惊厥是由全身性生化过程或局灶性结构病变引起的。这些患者需要进行全面评估，因为在这个年龄组中几乎不存在特发性癫痫发作。边缘循环和肺功能损害中枢神经系统功能，这可能导致发作后昏迷时间延长。此外，患者的身体脆弱性会使昏迷情况复杂化。而且，患者的脆弱性会使抗惊厥治疗变得复杂。医生必须做好准备，在患者发作后长时间昏迷期间给予支持，因为许多患者能够恢复到发作前的功能水平。
