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癫痫与癫痫发作的应急管理

Emergency Management of Epilepsy and Seizures.

作者信息

Bank Anna M, Bazil Carl W

机构信息

Department of Neurology, Columbia University Medical Center, New York, New York.

出版信息

Semin Neurol. 2019 Feb;39(1):73-81. doi: 10.1055/s-0038-1677008. Epub 2019 Feb 11.

Abstract

Seizure- and epilepsy-related complications are a common cause of emergency medical evaluation, accounting for 5% of 911 calls and 1% of emergency department visits. Emergency physicians and neurologists must be able to recognize and treat seizure- and epilepsy-related emergencies. This review describes the emergency evaluation and management of new onset seizures, breakthrough seizures in patients with known epilepsy, status epilepticus, acute symptomatic seizures, and acute adverse effects of antiepileptic drugs.

摘要

癫痫发作及相关并发症是紧急医疗评估的常见原因,占911急救电话的5%以及急诊科就诊病例的1%。急诊医生和神经科医生必须能够识别并治疗与癫痫发作及癫痫相关的急症。本文综述了新发癫痫发作、已知癫痫患者的突破性发作、癫痫持续状态、急性症状性发作以及抗癫痫药物急性不良反应的紧急评估和处理。

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