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目的：探讨中风后继发癫痫的易患因素，发生机理及防治措施。方法：将５３例中风继发癫痫的有关临床资料与同期其他中风病人进行比较分析，并参考有关文献。结果：发现中风累及皮质的脑叶灶最易导致癫痫，蛛网膜下腔出血及血管畸形引起的脑出血比一般的脑出血亦较易出现癫痫。结论：应充分估计中风后继发癫痫的可能性。对有癫痫倾向的出血性重危中风，必要时可予１～２周的预防性抗痫治疗；中风后早发性癫痫一般只需２周抗痫治疗；而迟发性癫痫则需要长期抗痫治疗
Objective: To explore the predisposing factors, pathogenesis and prevention measures of secondary epilepsy after stroke. Methods: The clinical data of 53 cases of secondary epilepsy with stroke were compared with those of other stroke patients in the same period. Reference was made to the relevant literature. Results: It was found that cerebral lobe lesions involving cortex most often caused epilepsy, subarachnoid hemorrhage and cerebral hemorrhage caused by vascular malformation were more prone to epilepsy than cerebral hemorrhage. Conclusion: The possibility of secondary epilepsy following stroke should be fully assessed. Epilepsy prone hemorrhagic stroke, if necessary, may be 1 to 2 weeks of preventive antiepileptic treatment; stroke early onset epilepsy generally only 2 weeks of anti-epilepsy treatment; and delayed epilepsy is the need for long-term anti-epilepsy treatment