论文部分内容阅读
患儿女,7 1/2岁,自1989年10月开始反复出现胸前不适,随后神志不清伴抽搐、尖叫、小便失禁,每次持续10～20秒,可自行缓解,发作间隔时间不等。诊断为癫痫,先后服用苯妥英钠、卡马西平等药,其间曾有8个月未发作,亦多次检查过心电图示QT间期延长。近一个月来在未停抗癫痫药物的情况下,患儿症状再次频繁出现,且多次发作于夜间及清晨睡眠中,于1993年9月30日到我院就诊,查体:T36℃,P85次/分,R20次/分,BP12/6kPa。发育正常,神志清,双耳听力正常,心界不大,心率85次/分,律齐,无杂音。腹部及神经系统正常。实验室检
Pediatric, 7 1/2 years old, recurrent chest discomfort beginning in October 1989 and subsequent confusion with convulsions, screaming, urinary incontinence, each lasting 10 to 20 seconds, relieving itself, the interval between episodes Do not wait. Diagnosed as epilepsy, has taken phenytoin sodium, carbamazepine, during which 8 months without an episode, also repeatedly checked the ECG QT interval prolongation. Nearly a month in the case of non-stop antiepileptic drugs, the symptoms of children once again frequently, and repeated seizures in the night and early morning sleep, in September 30, 1993 to our hospital, physical examination: T36 ℃, P85 beats / min, R20 beats / min, BP12 / 6kPa. Normal development, conscientious, normal hearing both ears, heart, heart rate 85 beats / min, Law Qi, no noise. Abdomen and nervous system normal. Laboratory test