Status epilepticus is persistent brain rhythm disorder caused by repeated seizures for a long time, more than 30 minutes, between attack fail recovery seen in infants and young children. Divided into convulsive status epilepticus, part non-convulsive status epilepticus, status epilepticus, four types of cognitive impairment status epilepticus, convulsive status epilepticus in children with the worst.
Convulsive status epilepticus of multiple cerebral hypoxia, ischemia, brain infection, electrolyte disorders, convulsion, caused by suddenly in the course of epilepsy with antiepileptic drugs, long and repeated body convulsions, interictal fail recovery, brain injury-prone, is a pediatric emergency. When seizures more than, lack of oxygen and glucose, while decompensation, cell and tissue failure, insufficient cerebral blood and systemic metabolic acidosis, heart, liver disorders, brain edema and intracranial hypertension occurs, lead to hypoxic-ischemic brain injury. Survivors can have serious complications such as brain atrophy, difficult to control epilepsy, mental retardation, paralysis, etc.
When convulsion in children when long and repeated attacks, should be sent to hospital for treatment. If you do not timely processing, may be due to failure of life and death, you should try to control seizures in 1-2 hours. Treatment includes: ① selection of high effect of anticonvulsant drugs such as diazepam, nitrazepam. Small number of invalid children free phenytoin sodium, rapid seizure control. ② the life-sustaining functions, prevention and control of complications, especially avoid excessive brain edema, Diabetic Ketoacidosis, such as high fever, respiratory failure, low blood sugar. ③ control while actively searching for the cause of the convulsions, treatment for the cause. ④ preventing recurrence of seizures, in attack after stopping and immediately begin-term treatment of intractable epilepsy.
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