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全军第三届神经内科专业学术会议于1985年10月7～12日在成都召开。会议收到论文411篇,重点涉及到癫痫和脑血管病的各个方面。其中有103篇在大会及分组会上报告交流。现将论文主要内容综述如下。 一、癫痫 共49篇。根据对西北158223人的调查,癫痫的人群患病率为109.97/10万,女高于男,以10～19岁为最高发病年龄组(144.62/10万),强直阵挛性大发作为其主要发作形式(71.26％)。关于癫痫的病因分类,建议分为原发、继发和症状性三类较适宜。其中以颅脑损伤(35.35％)和感染(29.29％)为最常见。12例脑活检的资料证实某些临床上的原发性癫痫也有其病理解剖基础,微型脑血管畸形为其痫样放电的重要原因之一。关于癫痫病的遗传性,不仅家系调查而且实验室研究均已得到证明和支持,这对原发性癫痫的病因研究或有一定帮助。关于癫痫病人的脑电图分析报告认为,除应加强诱发措施和改进描记方法,不断提高脑电诊断的阳性率外,脑电描记应与癫痫末次发作距离缩短,这样阳性率高,并建议到为飞行医学鉴定和挑选飞行员的常规项目之一。美解眠的最佳诱发剂量为80～120mg。脑皮质和脑深部脑电描记可为癫痫手术治疗提供可靠依据,而且有重要的临床实用价
The Third Military Academy of Neurology professional academic conference in October 1985 7 to 12 held in Chengdu. The conference received 411 papers, focusing on all aspects of epilepsy and cerebrovascular disease. 103 of them reported the meeting at the general assembly and the group meeting. Now the main contents of the paper are summarized below. First, a total of 49 epilepsy. According to a survey of 158,233 people in northwestern China, the prevalence of epilepsy was 109.97 / lakh, and the prevalence of females was higher than that of males. The highest age at onset was 10-19 years (144.62 / lakh), and the incidence of tonic-clonic seizures The main attack form (71.26%). On the etiology of epilepsy classification, it is recommended divided into primary, secondary and symptomatic three more appropriate. Among them, craniocerebral injury (35.35%) and infection (29.29%) were the most common. 12 cases of biopsy data confirmed that some of the clinical primary epilepsy also has its basis for pathological anatomy, microcephaly vascular malformations as one of the important causes of epileptiform discharge. On the hereditary nature of epilepsy, not only pedigree investigation but also laboratory studies have been proven and supported, which etiology of primary epilepsy may be some help. EEG analysis of patients with epilepsy report that, in addition to strengthening the evacuation measures and improve the tracing method, and continuously improve the positive rate of EEG diagnosis, EEG should shorten the last episode of epilepsy, so the positive rate, and suggested One of the routine projects for pilots identification and selection for flying medicine. The best dose for the United States to relieve sleep is 80 ~ 120mg. Cerebral cortex and deep brain electroencephalography can provide a reliable basis for the treatment of epilepsy surgery, but also has important clinical practical price