摘要
本文报道了2例缺氧后肌阵挛发作病例,通过复习文献,对其病因学、临床表现、诊断要点与治疗情况进行分析,发现其有下述临床特点:(1)心肺复苏、窒息是本病常见的原因;(2)肌阵挛易由外界刺激所诱发,如听觉、触觉、视觉刺激诱发或加重;(3)脑电图有或无痫性电活动,脑部影像学检查可无特异性病变;(4)治疗首选丙戊酸、氯硝西泮等抗癫痫药;(5)总体预后较好,可能遗留神经功能缺损。
Here we report two cases of post-hypoxic myoclonus.Through literature review,its etiology,clinical presentation,examination,diagnostic points and treatment elements were analyzed and were found to have the following clinical features：（1） cardiopulmonary resuscitation and asphyxia are common causes of this disease（2） myoclonus is particularly susceptible to be induced or aggravated by external stimuli such as auditory,tactile,visual stimulation（3） with or without epileptic EEG power activity,non-specific lesions in brain imaging（4） Some of antiepileptic drugs are effective,especially midazolam（5） the overall prognosis is good,but neurological deficit may be left over.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第8期927-928,共2页
Chinese General Practice
