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癫痫头条app癫痫发作应该如何抢救

来源:癫痫头条app 发布时间:2019-10-17 08:28:30

  癫痫持续状态指一次癫痫发作持续30分钟以上,或连续多次发作,发作间隙意识不恢复者。各型癫痫均可发生,而最常见最严重的是大发作持续状,若不及时治疗,可因生命功能衰竭而死亡,或造成脑持久性损害,故应作急诊处理。

  癫痫持续状态中最常见和最严重的是在发作持续状态,(全身性强直一阵挛性发作持续状态),表现为大发作频繁反复出现,间歇期意识不恢复,发作时间延长,间隔缩短,昏迷加深。有发热、心律失常、呼吸不规则、血压下降、瞳孔散大、对光反身消失等症状,可持续数小时至数日,约有6%-20%病人死亡。关身癫痫持续状态只表现半身抽搐。癫痫发作后可遗有半身瘫痪,多为脑嚣质性病变,作者门诊一个6岁女孩,反复左侧上下肢抽,持续不止的抽搐。经ct发现右侧大脑有软化灶。

  局限性运动性作持续状态,发作时抽搐多见于眼脸、口角,也可见手、前臂、手拇指、足拇趾。抽搐呈反复持续性阵挛性发作,可达数小时,乃至数月,发作时无意识丧失,但也可引起全身性大发作持续状态。小发作持续状态,有持续性意识障碍(意识不全丧失),轻度意识障碍时,只有思维和反应变慢,稍重时可见沉默不语、少动、定向力丧失。有时呈昏睡状,闭目不动,大、小便失禁,持续数小时至数月不等。用药后或自然(发作)缓解停止,醒后自己不能回忆,eeg显示,棘-慢合波主要在额区。精神运动型癫痫持续状态,表现复杂,诊断困难,表现为不断出现的自动症,正确诊断主要依赖eeg(聂叶)

  出现局限性棘波或棘-慢波或持续性阵发性慢活动,新生儿癫痫持续状态较常见,临床症状不典型,多呈轻微抽动,呼吸暂停,肢体强直。eeg棘波、尖波、棘-慢综合波、δ波,病因主要是产伤等脑器质性病变,有时系低血钙、低血镁、低血糖引起。

  抢救原则:

  1、 注意保护,防止窒息、吸适应症性肺炎和外伤,保持呼吸道通畅,经常吸痰。如紫绀明显、痰液难以清除,则早作气管切开。

  2、 立即控制发作,可选用安定针10mg,或氯硝安定针2 mg缓慢静脉注射。儿童1次0.3 mg/kg,,婴幼儿、新生儿0.5 mg/kg-1 mg/kg缓慢静脉注射。

  3、 高热者降温,选用足量有效抗生素,有脑水肿时应脱水,并注意营养补充、水与电解质平衡。

  4、 查到有关病因及时处理。



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    擅长:癫痫、脑血管病、颅内静脉系统血栓、失眠等病症等。

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    擅长:诊治各类癫痫病及其并发症。

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0.3555
基本信息
SQL
$_GET
$_POST
$_COOKIE
包含文件
自动加载
  1. 模型: D:\wwwroot\www\app/twcms/model/
  2. 视图: D:\wwwroot\www\app/twcms/view/default/article.htm
  3. 控制器: D:\wwwroot\www\app/twcms/control/show_control.class.php
  4. 日志目录: D:\wwwroot\www\app/twcms/runtime/logs/
  5. 当前页面: D:\wwwroot\www\app\index.php
  6. 当前时间: 2019-11-19 21:13:52
  7. 当前网协: 34.204.203.142
  8. 请求路径: /dxtt/2789.html
  9. 运行时间: 0.3555
  10. 内存开销: 1.46 MB
  1. #0 [time:0.0002s] SET character_set_connection=utf8, character_set_results=utf8, character_set_client=binary, sql_mode=''
  2. #1 [time:0.0002s] SELECT * FROM tw_runtime WHERE k='cfg' LIMIT 1 [explain type: const | rows: 1]
  3. #2 [time:0.0002s] SELECT * FROM tw_runtime WHERE k='cate_5' LIMIT 1 [explain type: const | rows: 1]
  4. #3 [time:0.0004s] SELECT * FROM tw_cms_article WHERE id='2789' LIMIT 1 [explain type: const | rows: 1]
  5. #4 [time:0.0004s] SELECT * FROM tw_cms_article_data WHERE id='2789' LIMIT 1 [explain type: const | rows: 1]
  6. #5 [time:0.0003s] SELECT id FROM tw_cms_article WHERE cid='5' AND id<'2789' ORDER BY id DESC LIMIT 0,1 [explain type: range | rows: 349]
  7. #6 [time:0.0003s] SELECT * FROM tw_cms_article WHERE id='2781' [explain type: const | rows: 1]
  8. #7 [time:0.0003s] SELECT id FROM tw_cms_article WHERE cid='5' AND id>'2789' ORDER BY id ASC LIMIT 0,1 [explain type: range | rows: 18]
  9. #8 [time:0.0003s] SELECT * FROM tw_cms_article WHERE id='2797' [explain type: const | rows: 1]
  10. #9 [time:0.0002s] SELECT * FROM tw_kv WHERE k='navigate' LIMIT 1 [explain type: const | rows: 1]
  11. #10 [time:0.0002s] SELECT id FROM tw_cms_app ORDER BY id ASC LIMIT 0,7 [explain type: index | rows: 7]
  12. #11 [time:0.0001s] SELECT * FROM tw_cms_app WHERE id='9' OR id='14' OR id='16' OR id='17' OR id='18' OR id='19' OR id='20' [explain type: ALL | rows: 13]
  13. #12 [time:0.0002s] SELECT id FROM tw_cms_article WHERE cid='5' ORDER BY id ASC LIMIT 0,5 [explain type: ref | rows: 368]
  14. #13 [time:0.0002s] SELECT * FROM tw_cms_article WHERE id='10' OR id='28' OR id='30' OR id='46' OR id='49' [explain type: range | rows: 5]
  15. #14 [time:0.0001s] SELECT cid FROM tw_category ORDER BY orderby ASC [explain type: ALL | rows: 8]
  16. #15 [time:0.0001s] SELECT * FROM tw_category WHERE cid='1' OR cid='2' OR cid='3' OR cid='4' OR cid='5' OR cid='6' OR cid='7' OR cid='8' [explain type: ALL | rows: 8]
  17. #16 [time:0.0001s] SELECT flag,id FROM tw_cms_article_flag WHERE flag='1' AND cid='5' ORDER BY id DESC LIMIT 0,5 [explain type: ref | rows: 6]
  18. #17 [time:0.0001s] SELECT * FROM tw_cms_article_flag WHERE flag='1' AND id='97' OR flag='1' AND id='50' OR flag='1' AND id='49' OR flag='1' AND id='46' OR flag='1' AND id='30' [explain type: range | rows: 5]
  19. #18 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='97' OR id='50' OR id='49' OR id='46' OR id='30' [explain type: range | rows: 5]
  20. #19 [time:0.0001s] SELECT id FROM tw_cms_app ORDER BY id ASC LIMIT 0,16 [explain type: index | rows: 13]
  21. #20 [time:0.0001s] SELECT * FROM tw_cms_app WHERE id='9' OR id='14' OR id='16' OR id='17' OR id='18' OR id='19' OR id='20' OR id='21' OR id='22' OR id='23' OR id='24' OR id='25' OR id='26' [explain type: ALL | rows: 13]
  22. #21 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_13' LIMIT 1 [explain type: | rows: ]
  23. #22 [time:0.0001s] SELECT * FROM tw_category WHERE cid='13' LIMIT 1 [explain type: | rows: ]
  24. #23 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_1' LIMIT 1 [explain type: const | rows: 1]
  25. #24 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='1' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 387]
  26. #25 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2969' [explain type: const | rows: 1]
  27. #26 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_2' LIMIT 1 [explain type: const | rows: 1]
  28. #27 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='2' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 346]
  29. #28 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2970' [explain type: const | rows: 1]
  30. #29 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_3' LIMIT 1 [explain type: const | rows: 1]
  31. #30 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='3' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 390]
  32. #31 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2971' [explain type: const | rows: 1]
  33. #32 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_4' LIMIT 1 [explain type: const | rows: 1]
  34. #33 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='4' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 343]
  35. #34 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2972' [explain type: const | rows: 1]
  36. #35 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='5' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 368]
  37. #36 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2973' [explain type: const | rows: 1]
  38. #37 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_6' LIMIT 1 [explain type: const | rows: 1]
  39. #38 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='6' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 346]
  40. #39 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2974' [explain type: const | rows: 1]
  41. #40 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_7' LIMIT 1 [explain type: const | rows: 1]
  42. #41 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='7' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 372]
  43. #42 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2975' [explain type: const | rows: 1]
  44. #43 [time:0.0001s] SELECT * FROM tw_runtime WHERE k='cate_8' LIMIT 1 [explain type: const | rows: 1]
  45. #44 [time:0.0001s] SELECT id FROM tw_cms_article WHERE cid='8' ORDER BY id DESC LIMIT 0,1 [explain type: ref | rows: 382]
  46. #45 [time:0.0001s] SELECT * FROM tw_cms_article WHERE id='2976' [explain type: const | rows: 1]
  1. #control => show
  2. #action => index
  3. #cid => 5
  4. #id => 2789
      1. #0 D:\wwwroot\www\app\index.php
      2. #1 D:\wwwroot\www\app\twcms\kongphp\kongphp.php
      3. #2 D:\wwwroot\www\app\twcms\config\config.inc.php
      4. #3 D:\wwwroot\www\app\twcms\kongphp\base\base.func.php
      5. #4 D:\wwwroot\www\app\twcms\kongphp\base\core.class.php
      6. #5 D:\wwwroot\www\app\twcms\kongphp\base\debug.class.php
      7. #6 D:\wwwroot\www\app\twcms\kongphp\base\log.class.php
      8. #7 D:\wwwroot\www\app\twcms\kongphp\base\model.class.php
      9. #8 D:\wwwroot\www\app\twcms\kongphp\base\view.class.php
      10. #9 D:\wwwroot\www\app\twcms\kongphp\base\control.class.php
      11. #10 D:\wwwroot\www\app\twcms\kongphp\db\db.interface.php
      12. #11 D:\wwwroot\www\app\twcms\kongphp\db\db_mysql.class.php
      13. #12 D:\wwwroot\www\app\twcms\kongphp\cache\cache.interface.php
      14. #13 D:\wwwroot\www\app\twcms\kongphp\cache\cache_memcache.class.php
      15. #14 D:\wwwroot\www\app\twcms\config\plugin.inc.php
      16. #15 D:\wwwroot\www\app\twcms\plugin\editor_um\conf.php
      17. #16 D:\wwwroot\www\app\twcms\plugin\tw_links\conf.php
      18. #17 D:\wwwroot\www\app\twcms\plugin\tw_sitemap\conf.php
      19. #18 D:\wwwroot\www\app\twcms\runtime\twcms_control\parseurl_control.class.php
      20. #19 D:\wwwroot\www\app\twcms\runtime\twcms_model\runtime_model.class.php
      21. #20 D:\wwwroot\www\app\twcms\runtime\twcms_control\show_control.class.php
      22. #21 D:\wwwroot\www\app\twcms\runtime\twcms_model\category_model.class.php
      23. #22 D:\wwwroot\www\app\twcms\runtime\twcms_model\cms_content_model.class.php
      24. #23 D:\wwwroot\www\app\twcms\runtime\twcms_view\default,article.htm.php
      25. #24 D:\wwwroot\www\app\twcms\runtime\twcms_model\cms_content_data_model.class.php
      26. #25 D:\wwwroot\www\app\twcms\runtime\twcms_model\kv_model.class.php
      27. #26 D:\wwwroot\www\app\twcms\kongphp\ext\utf8.class.php
      28. #27 D:\wwwroot\www\app\twcms\runtime\twcms_model\cms_content_flag_model.class.php
      29. #28 D:\wwwroot\www\app\twcms\kongphp\tpl\sys_trace.php
      1. #0 utf8 类