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目的:探讨癫痫持续状态(SE)的病因、机制、表现、治疗和预后。方法:对35例SE患者的资料进行回顾性分析。结果:SE主要病因有脑外伤、感染、中毒、肿瘤、脑血管病等;机制复杂;临床表现大多是全面性发作,少数为局灶性发作,脑电图80%异常。结论:SE病因很多,诊断主要靠病史和临床表现,需采用综合治疗,预后取决于病因、发作类型、抢救是否及时。
Objective: To investigate the etiology, mechanism, performance, treatment and prognosis of status epilepticus (SE). Methods: The data of 35 cases of SE were analyzed retrospectively. Results: The main causes of SE were traumatic brain injury, infection, poisoning, tumor, cerebrovascular disease and so on. The mechanism was complex. Most of the clinical manifestations were generalized seizures. A few were focal seizures and 80% were abnormal in EEG. Conclusion: There are many causes of SE. The diagnosis mainly depends on the history and clinical manifestations. Comprehensive treatment is required. The prognosis depends on the etiology, the type of the attack, and whether the rescue is timely.