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[癫痫持续状态:临床特征、病因及管理]

[Status epilepticus: clinical features, causes and management].

作者信息

Domzał T

机构信息

Kliniki Neurologicznej Centralnego Szpitala Klinicznego WAM, Warszawie.

出版信息

Pol Tyg Lek. 1994;49(4-5):108-9.

PMID:8029134
Abstract

Status epilepticus with generalized seizures may sometimes develop in epileptic patient who does not recover between attacks. Such a state is life-threatening and requires immediate intervention. Own experience with 22 patients suffering from status epilepticus out of 100 epileptic patients treated at the hospital. Management of status epilepticus is also discussed. Diazepam should be given intravenously or clonazepam with phenytoin as the drugs of the first choice. Then, barbiturates are given to produce coma. If the disease is progressing, the third choice drugs are also discussed.

摘要

全身性癫痫发作的癫痫持续状态有时可能在发作间期未恢复的癫痫患者中出现。这种状态危及生命,需要立即干预。这是基于在医院治疗的100例癫痫患者中有22例患有癫痫持续状态的自身经验。文中还讨论了癫痫持续状态的管理。首选药物应为静脉注射地西泮或氯硝西泮与苯妥英钠联用。然后,给予巴比妥类药物以诱导昏迷。如果病情进展,还会讨论第三线药物。

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