目的：本文对64例中风后早期癫痫进行临床研究。方法：通过回顾性病历复习和随访观察。结果：中风后早期癫痫的发生率为4．2％，癫痫发作常发生在中风后24h内，占75％。癫痫发作与CT所见病灶分布密切相关，皮层病灶较皮层下病灶更易发生癫痫。中风后早期癫痫发作与迟发性癫痫关系密切。结论：中风后早期癫痫发作是迟发性癫痫的危险因素。 Objective: In this paper, 64 cases of early post-stroke epilepsy clinical research. Methods: Through retrospective review of medical records and follow-up observation. Results: The incidence of early epilepsy after stroke was 4.2%. Epileptic seizures often occurred within 24 hours after stroke, accounting for 75%. Epileptic seizures are closely related to the distribution of lesions seen in CT, epilepsy is more likely to occur in cortical lesions than in subcortical lesions. Early seizures after stroke and delayed epilepsy are closely related. Conclusion: Early epileptic seizures are risk factors for delayed epilepsy.