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裘××,男,12岁。两天来步态不稳、语言障碍于1983年12月20日来我院就诊。现病史:患儿于8岁时曾患癫痫小发作,经服用安定后基本控制。3年后因癫痫大发作而服用苯妥英钠治疗。苯妥英钠每日服3次,每次服0.1克,发作虽然较未服药时有明显减少,但有时仍有发作,特别是在暴饮、暴食或情绪激动时更为严重。连续服药达一年之久,尚未能完全控制。患者家人听说有一种“专治此病”的偏方,于是停用苯妥英钠而试用该药。停药3日后,抽搐发作转频,每日犯2~3次,于是又重新服用苯妥英钠原剂量,一天之后发作如故,家属于每日睡前给患儿加服苯妥英钠0.1克一次。3天后抽搐发作基本控制。此后一周,患儿自觉视物模
Qiu × ×, male, 12 years old. Two days to unsteady gait, language barriers in December 20, 1983 to our hospital. Current medical history: children with epileptic seizures at the age of 8, after taking basic stability control. 3 years after the onset of epilepsy and taking phenytoin sodium treatment. Phenytoin 3 times a day, each serving 0.1 grams, although the attack was significantly reduced compared with no medication, but sometimes there are still attacks, especially during binge drinking, gluttony or emotional aggravate. Continuous medication for a year, not yet fully controlled. The patient’s family heard of a “cure this disease” recipe, so stop using phenytoin and try the drug. 3 days after discontinuation, convulsive seizures frequency, guilty of committing 2 to 3 times a day, so they re-take the original dose of phenytoin, one day after the seizures as before, their families go to bed every day before going to children with added 0.1 g of sodium phenytoin once. Three days after convulsions seizures basic control. After a week, children consciously consider the model