癫痫持续状态86例临床分析

目的探讨癫痫持续状态的病因、临床特点、诊断和治疗方法。方法对86例癫痫持续状态患者的临床资料进行回顾性分析。结果经积极治疗后82例患者得到有效控制,4例自动出院后死亡,病死率为4.65%。结论脑血管病是癫痫持续状态最常见的病因,在有癫痫史的患者中停药或换药是最常见的诱因。尽早诊断,及时治疗,可以提高抢救成功率。坚持服药,减少各种不良诱因是预防本病的关键。

Clinical analysis of status epilepticus

Objective To investigate the etiologic factors,clinical features,diagnosis and treatment of status epilepticus（SE）.Methods The clinical data of 86 patients with status epilepticus were retrospectively analyzed.Results 82 patients were under complete control after active treatment.4 patients died and the fatality rate was 4.65%.Conclusion The cerebrovascular disease is the most common cause of SE and anticonvulsant drug withdrawal is the major cause in patients with preexisting epilepsy.Early diagnosis and timely cure may improve the rate of success of salvage.The key in the prevention of SE is to take medicine persistently and avoid all kinds of the precipitating causes.