摘要
收集30例癫痫持续状态（SE）患者的临床与实验室资料，就其临床与多系统损害对预后的影响作分析。结果：30例SE患者有高钾、钠、氯；低钠，氯，钙等多种电解质紊乱；酸硷失衡有呼酸，代酸；低O2血症等；还有高血糖，多种心律失常，高血压，肺炎等。对死亡6例的分析证明SE的多系统损害是致死的重要原因，对SE的正确处理首先是尽快控制发作；对继发性癫痫者原发病的处理亦很重要。SE的预防主要是正规服抗癫痫药。
Clinical records and laboratory data of 30 in-patients with status epilepsy (SE) in ourhospital have been collected. The influence of clinical manifestations and multisystemic damage on prognosis was analysed. The results revealed that most patients had electrolytic disturbance, such as high K+, Na+, Cl-and/or low Na+, Cl-, Ca etc, acid-base unbalance withrespiratory acidosis and metabolic acidosis and hypoxemia, hyperglycemia (10/24 ), varioussorts of arrhythmia,hypertension and pneumonia. An analysis of 6 deaths proved that multisystemic malfunction was the important cause of death. The first step of proper treatment iscontrolling seizure of S E as soon as possible 3in secondary S E,treating the original disease isvery important,too. Prevention of S E is mainly regular administration of antiepileptics.
出处
《江西医学院学报》
CAS
1998年第3期53-56,共4页
Acta Academiae Medicinae Jiangxi
