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ID:19715489
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时间:2018-10-05
《tonicclonic status epilepticus in children广义强直阵挛性癫痫持续状态的儿童课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、Generalized,Tonic-ClonicStatusEpilepticusinChildrenMichaelWilson,MDPediatricCriticalCareObjectivesTheparticipantwillincreaseher/hisabilitytodefinestatusepilepticususingapractical,mechanisticapproachabilitytolistprobablecausesforstatusepilepticusinchildrenunderstandingof
2、thepathophysiologiceventsknowledgeoftreatmentstrategiesforpediatricstatusepilepticus2StatusepilepticusStatusepilepticus(SE)presentsinamultitudeofforms,dependentonetiologyandpatientage(myoclonic,tonic,subtle,tonic-clonic,absence,complexpartialetc.)Generalized,tonic-cloni
3、cSE(GCSE)isthemostcommonformofSEThefollowingpresentationreferstogeneralized,tonic-clonicSE3StatusepilepticusDefinitionInternationalLeagueAgainstEpilepsySingleseizure>30minutes2ormoreseizureswithoutcompleterecoveryofconsciousnessbetweenseizures4StatusepilepticusWhy30minu
4、tes?Animalexperimentsinthe1970sand1980shadshownthat...…neuronalinjurycouldbedemonstratedafter30minofseizureactivity,evenwhilemaintainingrespirationandcirculationNevanderG.AnnNeurol1985;18(3):281-90.5StatusepilepticusMorepractical:MechanisticdefinitionGCSEisaconditionwhi
5、chmostlikelywillnotterminaterapidlyand/orspontaneouslyGCSEisaconditionwhichrequirespromptinterventionLowensteinDH.Epilepsia19996StatusepilepticusThelongerSEpersists,theloweristhelikelihoodofspontaneouscessationtheharderitistocontrolthehigheristheriskofmorbidityandmortal
6、ityBleckTP.Epilepsia1999;40(1):S64-6TheStatusEpilepticusWorkingParty.ArchDisChild2000;83(5):415-9.7StatusepilepticusTypicalseizuredurationChildren>5years:Typical,generalizedtonic-clonicseizurelasts<5minutesYoungchildrenandinfants:Paucityofdata.Suggestedtimeframefortypic
7、altonic-clonicseizure:<10-15minutesReviewedin:LowensteinDH.It'stimetorevisethedefinitionofstatusepilepticus.Epilepsia1999;40(1):120-2.8StatusepilepticusRevisedDefinitionGeneralized,convulsivestatusepilepticusinolderchildren(>5years)refersto>5minutesofcontinuousseizureor
8、>2discreteseizureswithincompleterecoveryofconsciousnessPatientswithgeneralizedseizureactivityatarrivalintheERa
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