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癫癎持续状态因其死亡率达6-18%而属危重情况.大多数病例能通过静脉注射定安或苯妥英钠以及其他一些抗惊厥药得以控制,对那些使用镇静剂无效的严重强直——阵挛性癫癎则可考虑应用全身麻醉.作者报导的743例抽搐发作病人中,有47例为癫癎持续状态.其中5例患者在48小时内应用多种常规抗惊厥药物治疗均告失败而被收入重点监护病房.全部作气管插管,以备必要时应用人工呼吸.在脑功能监护仪持续监测大脑功能下,进行了硫贲妥钠静脉麻醉治疗.首次静脉给药为100-250mg,以后每隔2-5分钟给50mg直至监护仪上不见癎性放电现象为止.然后在维持性静脉点滴生理盐水500ml中加硫贲妥
Status epilepticus is at a critical condition because of its mortality rate of 6-18%, and most cases can be controlled by intravenous Dingan or phenytoin and other anticonvulsants. For those patients with severe tonic-clonus who do not use sedatives Epilepsy may consider the application of general anesthesia Author reported 743 cases of seizures in patients, 47 cases of epileptic persistence state, of which 5 patients within 48 hours of treatment with a variety of conventional anticonvulsants failed Income intensive care unit .All for endotracheal intubation, if necessary, the application of artificial respiration.In the continuous monitoring of brain function monitor brain function, the treatment of intravenous thiophanate sodium.For the first intravenous administration of 100-250mg, after Every 2-5 minutes to 50mg until the monitor does not see the phenomenon of sexual discharge so far and then in the maintenance of intravenous infusion of saline 500ml plus Sulfadiazine