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患者,男,48岁。十年前,因头部外伤,诊为脑震荡。以后经常发作性意识丧失伴全身抽搐,诊断为外伤性癫痫(大发作)。6年前,因生气癫痫发作呈持续状态,曾在我院外科进行乙醚全麻后,症状才得到控制。之后经常服苯妥英钠维持疗效。1986年11月中旬,因生气而停服苯妥英钠,停药约10余天后,癫痫再次发作呈持续状态。在基层医院曾抢救治疗,使用过苯巴比妥钠、氯丙嗪、安定等药物,均无效。送入我院病房时为11月27日凌晨4h,癫痫持续状态已延续13h。查体·T38.4℃,P130次/min,R40次/min,BP13/10kPa。深昏迷,呼吸急促,全身持续抽搐,双眼球向左上方窜动,口角向左抽动,幅度较大,每分钟约30次。牙关紧闭,
Patient, male, 48 years old. Ten years ago, because of head trauma, diagnosed as concussion. After the onset of frequent episodes of consciousness with generalized convulsions, diagnosis of traumatic epilepsy (major episode). Six years ago, because of seizures were sustained state, had surgery in our hospital ether anesthesia, the symptoms were under control. After taking phenytoin often to maintain efficacy. Mid November 1986, due to anger and stopped taking phenytoin sodium, withdrawal for about 10 days after the onset of epilepsy was a continuous state. In the primary hospital had rescue treatment, used phenobarbital sodium, chlorpromazine, stability and other drugs, are invalid. Into our ward for the morning of November 27 4h, status epilepticus has been extended 13h. Physical examination T38.4 ℃, P130 times / min, R40 times / min, BP13 / 10kPa. Deep coma, shortness of breath, the body continued twitching, eyes moving to the upper left corner, mouth twitch to the left, a larger range of about 30 times per minute. Tight shut,