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[新生儿惊厥:治疗的开始与中断]

[Neonatal seizures: the beginning and interruption of the treatment].

作者信息

Koenigsberger M R, Caballar-Gonzaga F J, Dierkes T

机构信息

University of Medicine and Dentistry of New Jersey (UMDNJ), Newark 07103, USA.

出版信息

Rev Neurol. 1997 May;25(141):706-8.

PMID:9206595
Abstract

Opinions vary as to which 'neonatal seizures' should be treated and which should not be. There is also controversy as to when therapy of seizures should be discontinued. A poll taken among a group of eleven experts in these matters concurred in the opinion that classical neonatal seizures, those well established by clinical and EEG criteria, can be treated before confirmatory EEG support is obtained. They also agreed that those movements known as subtle seizures should await EEG or video/EEG confirmation before commencing therapy. Nine of these experts now believe that therapy for seizures should be terminated at an early time. Most will stop the therapy while the patient is still in the nursery with the exception of 3 who would treat the babies for 3 months.

摘要

对于哪些“新生儿惊厥”应该治疗而哪些不应该治疗,意见各不相同。关于惊厥治疗何时应该停止也存在争议。在一组十一位该领域专家中进行的一项民意调查显示,他们一致认为,典型的新生儿惊厥,即那些通过临床和脑电图标准明确诊断的惊厥,可以在获得脑电图确认支持之前进行治疗。他们还同意,那些被称为轻微惊厥的动作应该在脑电图或视频/脑电图确认之后再开始治疗。其中九位专家现在认为惊厥治疗应该尽早终止。大多数专家会在患儿仍在新生儿室时就停止治疗,只有三位专家会对患儿进行三个月的治疗。

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