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小儿癫痫手术:麻醉注意事项。

Pediatric epilepsy surgery: anesthetic considerations.

作者信息

Koh Jeffrey L, Egan Brian, McGraw Terrence

机构信息

Department of Anesthesiology and Perioperative Medicine, Doernbecher Children's Hospital/Oregon Health and Sciences University, 3181 SW Sam Jackson Park Road, Portland, OR 97205, USA.

出版信息

Anesthesiol Clin. 2012 Jun;30(2):191-206. doi: 10.1016/j.anclin.2012.05.001. Epub 2012 Jun 27.

DOI:10.1016/j.anclin.2012.05.001
PMID:22901606
Abstract

Despite advances in antiepileptic medication therapy, a significant number of pediatric patients with epilepsy have seizures that are not well controlled. This article provides anesthesiologists with an overview of seizures in the pediatric population, including evaluation, medical treatment, surgical options, and the anesthetic implications of caring for this special population.

摘要

尽管抗癫痫药物治疗取得了进展,但仍有相当数量的小儿癫痫患者的癫痫发作未能得到有效控制。本文为麻醉医生提供了小儿癫痫发作的概述,包括评估、药物治疗、手术选择以及护理这一特殊人群时的麻醉注意事项。

相似文献

1
Pediatric epilepsy surgery: anesthetic considerations.小儿癫痫手术:麻醉注意事项。
Anesthesiol Clin. 2012 Jun;30(2):191-206. doi: 10.1016/j.anclin.2012.05.001. Epub 2012 Jun 27.
2
["Palliative" surgical procedures in refractory epilepsy].难治性癫痫中的“姑息性”外科手术
Rev Med Suisse. 2010 May 5;6(247):916, 918-20.
3
Pharmacoresistant epilepsy: from pathogenesis to current and emerging therapies.耐药性癫痫:从发病机制到现有和新兴疗法。
Cleve Clin J Med. 2010 Jul;77(7):457-67. doi: 10.3949/ccjm.77a.09061.
4
[Surgical treatment of epilepsy: outcome of various surgical procedures in adults and children].[癫痫的外科治疗:成人及儿童各种外科手术的结果]
Rev Neurol (Paris). 2004 Jun;160 Spec No 1:5S241-50.
5
Our experience with pediatric epilepsy surgery focusing on corpus callosotomy and hemispherotomy.我们专注于胼胝体切开术和大脑半球切除术的小儿癫痫手术经验。
Epilepsia. 2005;46 Suppl 1:30-1. doi: 10.1111/j.0013-9580.2005.461009.x.
6
Indications and outcomes for lobectomy, corpus callosotomy, and hemispherectomy in pediatric neurosurgical patients.
Clin Neurosurg. 2000;47:385-99.
7
[Indications and risks of neurosurgical techniques for drug-resistant partial epilepsy in adults].[成人耐药性部分性癫痫的神经外科手术技术的适应症与风险]
Rev Neurol (Paris). 2004 Jun;160 Spec No 1:5S171-4.
8
[Dutch Collaborative Epilepsy Surgery Program: reduction of seizures, operative complications and tapering of medication in 338 patients, 1973-1998].[荷兰癫痫手术协作项目:1973年至1998年338例患者癫痫发作减少、手术并发症及药物减量情况]
Ned Tijdschr Geneeskd. 2001 Nov 17;145(46):2223-8.
9
Five or more acute postoperative seizures predict hospital course and long-term seizure control after hemispherectomy.术后出现五次或更多次急性癫痫发作可预测半球切除术后的住院病程及长期癫痫控制情况。
Epilepsia. 2004 May;45(5):527-33. doi: 10.1111/j.0013-9580.2004.50203.x.
10
Nonresective epilepsy surgery.
Epilepsia. 2010 Feb;51 Suppl 1:87-9. doi: 10.1111/j.1528-1167.2009.02457.x.

引用本文的文献

1
Safety, feasibility and complications during resective pediatric epilepsy surgery: a retrospective analysis.小儿癫痫切除性手术的安全性、可行性及并发症:一项回顾性分析
BMC Anesthesiol. 2014 Aug 18;14:71. doi: 10.1186/1471-2253-14-71. eCollection 2014.