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在资源有限的环境中管理儿童癫痫:一种务实的方法。

Managing childhood epilepsy in a resource-limited setting: A pragmatic approach.

作者信息

Eltahir Babiker Mohamed Osman

机构信息

Royal Hospital for Sick Children; Yorkhill, Glasgow, United Kingdom.

出版信息

Sudan J Paediatr. 2015;15(1):9-20.

Abstract

Epilepsy is a complex neurological disorder. Its burden constitutes a major public health problem in resource-limited countries like Sudan. When it affects children, the challenges surrounding its diagnosis and management are enormous resulting in large numbers of patients missing out on adequate treatments. Epilepsy has the potential of not only adversely affecting the physical health of children but of also impacting negatively on their emotional, cognitive and social well-being. A pragmatic approach based on sound clinical skills of how to accurately diagnose epilepsy, as a priority, coupled with the choice of a cost-effective, wide spectrum and efficient anti-epileptic drug, is recommended.

摘要

癫痫是一种复杂的神经系统疾病。在苏丹等资源有限的国家,其负担构成了一个重大的公共卫生问题。当癫痫影响儿童时,围绕其诊断和管理的挑战巨大,导致大量患者无法获得充分治疗。癫痫不仅有可能对儿童的身体健康产生不利影响,还会对他们的情绪、认知和社会福祉产生负面影响。建议采取一种务实的方法,优先基于准确诊断癫痫的扎实临床技能,同时选择具有成本效益、广谱且高效的抗癫痫药物。

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