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继发性癫痫是蛛网膜下腔出血的常见并发症。以往对于影响癫痫发作的有关因素研究较少,为此,作者对一组动脉瘤破裂所致蛛网膜下腔出血患者发病及病程中的某些临床特点及治疗因素等与癫痫发生的关系进行了分析。方法 381例蛛网膜下腔出血患者均于发病后72h 内入院,278例经血管造影或尸检证实为动脉瘤破裂出血,其它103例因高龄(>70岁)或昏迷较深未行血管造影或手术,但脑 CT 示出血部位在大脑半球间、鞍上或侧裂池,提示为动脉瘤破裂出血。由于低血钠、再出血或手术后12h 内所发生的癫痫不算作继发性癫痫,作者用双边χ~2检验、log-rank检验的单变量分析方法及 Cox 比例风险模型的多
Secondary epilepsy is a common complication of subarachnoid hemorrhage. In the past, there were few researches on the related factors affecting epileptic seizures. To this end, the authors studied the relationship between epilepsy and some clinical features and treatment factors in onset and course of a subarachnoid hemorrhage caused by aneurysm rupture analysis. Methods A total of 381 patients with subarachnoid hemorrhage were admitted within 72 hours after the onset of disease. 278 patients were proved to be ruptured aneurysm by angiography or autopsy. The other 103 patients were older than 70 years old or were unconscious with angiography or coma. Surgery, but the brain CT showed blood in the cerebral hemispheres, saddle or lateral fissure, suggesting aneurysm rupture bleeding. Because of hyponatremia, rebleeding or epilepsy within 12h after surgery is not counted as secondary epilepsy, the author with bilateral χ ~ 2 test, log-rank test univariate analysis and Cox proportional hazards model more