神经病学与神经康复学杂志Issue(2)：44-47,4.
老年惊厥性癫痫持续状态28例临床分析
Clinical analysis of twenty-eight elderly patients with convulsive status epilepticus
王勤鹰 1余敏 1顾勤 1邓冰 1姜嘟嘟 1詹青1
作者信息
- 1. 同济大学附属同济医院神经重症监护室，上海 200065
- 折叠
摘要
Abstract
Objective To observe the clinical characteristics of elderly patients with convulsive status epilepticus (CSE). Methods Retrospectively analyzed the clinical characteristics of 28 aged patients (age above 60) with CSE admitted to our neurological intensive care unit ( NICU) . Results The most common etiology of CSE in elder patients was cerebrovascular disease .Median time from antiepileptic drugs ( AEDs ) treatment to CSE successful terminated was 0.9 hour.Among these patients, CSE was terminated successfully in 16 patients within 1 hour, while other 12 patients were in status of refractory status epilepticus (RSE).As a result, 16 patients survived and 12 died. Compared died patients with those survived , the rates of new-onset central nervous system lesions ( P=0.027 ) and RSE ( P=0.027 ) were significantly different . Conclusion The elderly patients with CSE have poor health basis and various etiologies of CSE .Presenting of new-onset of central nervous system lesions and RSE are associated with the increased rate of death .关键词
惊厥性癫痫持续状态/老年/病因/治疗Key words
convulsive status epilepticus/elderly/etiology/therapy分类
医药卫生引用本文复制引用
王勤鹰,余敏,顾勤,邓冰,姜嘟嘟,詹青..老年惊厥性癫痫持续状态28例临床分析[J].神经病学与神经康复学杂志,2014,(2):44-47,4.
