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老年人和老年患者的癫痫发作考量

Seizure Considerations in Older Adults and Geriatric Patients.

作者信息

Somes Joan

出版信息

J Emerg Nurs. 2024 Mar;50(2):192-203. doi: 10.1016/j.jen.2023.10.011.

Abstract

Older adults account for 25% of first-time seizures, with many of these seizures caused by accumulated injuries and insults to the brain and comorbidities associated with aging or as a result of a life-threatening comorbidity, yet seizures in older adults are often so subtle that they are not recognized or treated. Once an older adult has 1 seizure, they are at higher risk of more seizures and ultimately a diagnosis of epilepsy. Epilepsy affects quality of life and safety and may jeopardize life itself in the older adult; thus, it is important to be able to recognize seizures in older adults and know what to do.

摘要

老年人首次癫痫发作病例占 25%,其中许多癫痫发作是由脑部累积损伤和损害以及与衰老相关的合并症引起的,或者是由危及生命的合并症导致的。然而,老年人的癫痫发作往往很轻微,以至于未被识别或治疗。一旦老年人发生 1 次癫痫发作,他们再次发作以及最终被诊断为癫痫的风险就会更高。癫痫会影响老年人的生活质量和安全,甚至可能危及生命本身;因此,能够识别老年人的癫痫发作并知道如何应对非常重要。

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