Nevrologisk avdeling, Oslo universitetssykehus.
Nevrologisk avdeling, St. Olavs hospital.
Tidsskr Nor Laegeforen. 2024 Mar 11;144(4). doi: 10.4045/tidsskr.23.0782. Print 2024 Mar 19.
This clinical review examines the treatment of status epilepticus, a condition in which epileptic seizures are prolonged and pose a significant risk of brain damage and death. International guidelines recommend the use of benzodiazepines as first-line treatment, and these should be administered promptly and in appropriate doses. Second-line treatment involves the use of high-dose anti-seizure medications to stop and prevent seizures. If seizure activity persists, general anaesthesia should be administered as soon as possible. All neurological hospital departments should have established and rehearsed protocols for treating status epilepticus.
这篇临床综述探讨了癫痫持续状态的治疗方法，癫痫持续状态是指癫痫发作时间延长，存在严重脑损伤和死亡风险的一种病症。国际指南建议使用苯二氮䓬类药物作为一线治疗药物，应尽快给予适当剂量。二线治疗包括使用高剂量抗癫痫药物来停止和预防癫痫发作。如果癫痫活动持续存在，应尽快给予全身麻醉。所有神经科医院都应制定并演练治疗癫痫持续状态的既定方案。
