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目的对儿童外伤性癫痫发病的危险因素进行评价,为临床干预提供依据。方法对138例外伤性脑损伤患儿的临床资料进行回顾性分析,其中开放性颅脑损伤86例,闭合性颅脑损伤52例;轻度颅脑损伤67例,中重度颅脑损伤71例;皮层受损95例,皮层外其他部位受损43例;外伤性癫痫29例。结果对闭合性颅脑损伤与开放性颅脑损伤、轻度颅脑损伤与中重度颅脑损伤、皮层受损与其他部位受损引起的外伤性癫痫的发病例数分别进行!2检验,P均<0.05。结论开放性颅脑损伤、颅脑损伤程度重、皮层受损者外伤性癫痫发病率明显增高。对颅脑损伤患者,应结合临床特点、脑电图、神经影像学资料综合评价其危险因素,从而早期进行临床干预。
Objective To evaluate the risk factors of traumatic epilepsy in children and provide the basis for clinical intervention. Methods The clinical data of 138 children with traumatic brain injury were analyzed retrospectively, including 86 cases of open brain injury, 52 cases of closed brain injury, 67 cases of mild craniocerebral injury, 71 cases of moderate and severe craniocerebral injury, 95 cases of cortical damage, 43 cases of cortical lesions in other parts of the damage; traumatic epilepsy in 29 cases. Results of closed craniocerebral injury and open craniocerebral injury, mild craniocerebral injury and severe craniocerebral injury, cortical damage and other parts of the damage caused by traumatic epilepsy cases were tested! 2 test, P All <0.05. Conclusions Open craniocerebral injury, severe brain injury, and cortical damage were significantly increased in the incidence of traumatic epilepsy. Patients with craniocerebral injury should be combined with clinical features, EEG, neuroimaging data comprehensive assessment of risk factors, which early clinical intervention.