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目的探讨以癫痫为首发症状的脑出血的临床特征、发病机制及其治疗预后。方法对32例以癫痫为首发症状经头颅CT证实脑出血患者的临床资料进行分析。结果以癫痫为首发症状的脑出血占同期脑出血的2.19%,发作类型以部分性发作为主,皮质区癫痫发生率高于皮层下,而与出血量无关,脑出血预后与有无首发癫痫有重要关系。结论脑出血预后及病死率与有无并发癫痫有关。因此在抢救脑出血的同时选择有效药物,进行抗癫痫治疗,抑制癫痫发作是降低病死率致残率的重要措施。
Objective To investigate the clinical characteristics, pathogenesis and prognosis of intracerebral hemorrhage with epilepsy as the first symptom. Methods 32 cases of epilepsy as the first symptom of cranial CT confirmed the clinical data of patients with cerebral hemorrhage were analyzed. Results Epilepsy as the first symptom of intracerebral hemorrhage accounted for 2.19% of cerebral hemorrhage in the same period, the type of seizures to partial seizures, cortical epilepsy incidence higher than the cortex, and has nothing to do with bleeding, prognosis of cerebral hemorrhage with or without first epilepsy There is an important relationship. Conclusion The prognosis and mortality of cerebral hemorrhage are related to the presence or absence of epilepsy. Therefore, in the rescue of cerebral hemorrhage at the same time select an effective drug for anti-epileptic treatment, suppression of seizures is an important measure to reduce the mortality rate of disability.