摘要
目的:探讨小儿脑损伤后并发癫痫(PTS)的危险因素和预防治疗的方法。方法:对168例外伤性脑损伤患儿的临床资料进行回顾性分析,其中开放性颅脑损伤81例,闭合性颅脑损伤87例;轻度颅脑损伤82例,中重度颅脑损伤86例;皮层受损110例,皮层外其他部位受损58例;外伤性癫痫32例。结果:对闭合性颅脑损伤与开放性颅脑损伤、轻度颅脑损伤与中重度颅脑损伤、皮层受损与其他部位受损引起的外伤性癫痫的发病例数分别进行χ2检验,P均<0.05。结论:对颅脑损伤患者,应结合临床特点、脑电图、神经影像学资料等综合评价其危险因素,从而早期进行临床干预。
Objective：To assess the risk factors of post-traumatic epilepsy （VIE） for early rational treatment. Methods：138 cases of craniocerebral injury between Jan. 2005 and Jan. 2009 were retrospectively analysized. 81 cases had open craniocerebral injury. 87 cases had closed craniocerebral injury; 82cases had mild, and 86 cases had moderate or severe craniocerebral injury; 110 cases had cortical or subcortical injury and 58 cases had other parts injuries. 32 cases had posttraumatic epilepsy. Results：The comparison between the open and closed craniocerebral injury cased,the mild and moderate to severe cases,and the cortical and non-cortical cases had statistically significant difference in the occurrence of posttraumatic epilepsy. Conclusion：Open, severe and cortical injury are the risk factors that have prognostic value for PTE. It is very important to assess PTE by combining the clinical feature, neuroradiologic and neuropsychological findings after brain trauma. Early intervention should be initiated in the patients with three risk factors.
出处
《泸州医学院学报》
2009年第6期610-612,共3页
Journal of Luzhou Medical College
关键词
外伤
癫痫
危险因素
Traumatic
Epilepsy
Risk factors
