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小儿全面惊厥性癫痫持续状态的急诊处理

Emergency management of the paediatric patient with generalized convulsive status epilepticus.

作者信息

Friedman Jn

出版信息

Paediatr Child Health. 2011 Feb;16(2):91-104. doi: 10.1093/pch/16.2.91.

Abstract

The present guideline paper addresses the emergency management of generalized convulsive status epilepticus (CSE) in children and infants older than one month of age. It replaces the previous statement from 1996, and includes a new treatment algorithm and table of recommended medications, reflecting new evidence and the evolution of clinical practice over the past 15 years. The document focuses on the acute pharmacological management of CSE, but some issues regarding supportive care, diagnostic approach and treatment of refractory CSE are discussed.

摘要

本指南文件阐述了1月龄以上儿童及婴儿全面惊厥性癫痫持续状态(CSE)的急诊管理。它取代了1996年的先前声明,包括一种新的治疗算法和推荐药物表,反映了过去15年的新证据及临床实践的演变。该文件重点关注CSE的急性药物治疗,但也讨论了一些关于支持治疗、诊断方法及难治性CSE治疗的问题。

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本文引用的文献

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Status epilepticus in children.儿童癫痫持续状态
Curr Neurol Neurosci Rep. 2009 Mar;9(2):137-44. doi: 10.1007/s11910-009-0022-9.
3
Management of convulsive status epilepticus in children.儿童惊厥性癫痫持续状态的管理
Arch Dis Child Educ Pract Ed. 2009 Feb;94(1):1-9. doi: 10.1136/adc.2007.134049.
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Status epilepticus treatment guidelines.癫痫持续状态治疗指南。
Epilepsia. 2007;48 Suppl 8:99-102. doi: 10.1111/j.1528-1167.2007.01364.x.

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