62例癫痫持续状态患者的急诊救治

The experience of emergency treatment for 62 patients with continual epilepticus

目的 总结癫痫持续状态患者急诊救治体会,为临床癫痫持续状态疾病急诊救治提出建议.方法 随机选取2009年10月～2013年10月我院急诊救治的62例癫痫持续状态患者作为观察组,另选取同期我院收治的60例癫痫发作急诊患者为对照组,对比两组患者的临床资料,分析癫痫持续状态相关危险因素,总结急诊救治经验.结果 感染史及治疗不当是癫痫持续状态的独立危险因素.根据危险因素合理进行急诊救治,全部癫痫持续状态患者无一例死亡.结论 采取合理的急救及护理措施,能够有效改善癫痫持续状态患者的预后,降低临床死亡率.

Objective To make statistical analysis on risk factors of the patients with continual epilepticus and summary the experiences of emergency treatment for the patients with continual epilepticus in order to make recommendations for clinical emergency treatment of epilepticus diseases. Methods 62 patients with continual epilepticus were selected as the observation group. We also selected 60 epilepticus with emergency treatment as the control group. The clinical information was compared. The risk factors were analyses for continual epilepticus. Results History of infection and improper treatment were the independent risk factor of continual epilepticus. According to the risk factors, to make emergency treatment reasonably, there were no deaths in all patients with continual epilepticus. Conclusion Taking reasonable first-aid and nursing measures can effectively improve the prognosis of patients with continual epilepticus and reduce clinical death rate.