儿童惊厥性癫痫持续状态——难题与决策

癫痫持续状态是儿科神经系统最常见的一种急重症,其中惊厥性癫痫持续状态可能严重至危及生命,因而尤其需要准确紧急处理。准确的早期诊断、正确处理是抢救成功的关键。近年来对于癫痫持续状态的定义、分类以及程序化治疗都有很多新的认识和研究进展。本文拟从定义、分类、流行病学、临床诊治以及对发育中脑的影响方面对惊厥性癫痫持续状态进行综述,希望能帮助儿科医生在日常工作中能准确认识惊厥性癫痫持续状态,及早做出合理的临床决策,从而最终改善此症的预后。

Convulsive Status Epilepticus in Children--problem and strategy

Status epilepticus （SE） is a most common problem in pediatric emergency room. Convulsive SE （CSE） ,as a severest SE may cause death, is especially the urgent event needing prompt and aggressive treatment. Early and accurate diagnosis and properly treatment is critical for successful control of CSE. Recently, there are major advance in the definition, etiological classification, epidemiology, treatment and the effect on developing brain of CSE in children. Here we review the literatures of CSE comprehensively, and hope this will help the pediatricians to recognize it correctly and make a rational treatment strategy earlier for this important clinical problem. This will finally improve the outcome of CSE.