癫痫持续状态患者的病因分析

The Cause of Patients with Status Epilepticus were Analyzed

目的回顾性研究58例癫痫持续状态患者的病因,提早预防,减少此病的发病率及并发症。方法选取2001—2012年德阳市人民医院神经内科的58例癫痫持续状态的患者进行回顾性分析,分析病因及治疗结果。结果癫痫持续状态的病因有原发性癫痫、颅内感染、脑血管病、脑肿瘤、代谢性脑病、自行停用抗癫痫药以及酗酒。经抢救后,51例患者癫痫发作得到控制,7例患者死亡,病死率为12.07%。结论颅内感染、脑血管病、脑肿瘤、代谢性脑病、自行停用抗癫痫药和酗酒为严重癫痫发作的常见病因,有较大的早期预防、提前干预的价值,一旦发生癫痫持续状态,病情将极其危重,救治困难。

Objective Through the retrospective study, analysis of the etiology of 58 patients with status epilepticus. Methods 58 cases of clinical diagnosed patients with status epilepticus were analyzed retrospectively. Attack types for these pa- tients is generalized tonic - clonic seizure. Results Status epilepticus has the following causes ： idiopathic epilepsy, intracrani- al infection, cerebral vascular disease, brain tumors, metabolic encephalopathy, to stop using antiepileptic drugs, alcohol. After the rescue, 51 cases of epileptic seizures in patients with controlled, 7 cases of patients died, the case fatality rate of 12.07%. Conclusion Intracranial infection, cerebrovascular disease, brain tumors, metabolic disease, to stop using antiep- ileptic drugs and alcohol for a common cause of severe seizures, has a larger value of early prevention, early intervention, in the event of status epilepticus, will extremely critical illness, medical treatment difficult.