临床上如何鉴别癫痫与晕厥.docVIP

　　How to identify clinical epilepsy and syncope 临床上如何鉴别癫痫与晕厥） The differential diagnosis of syncope and epilepsy is quite difficult. According to statistics, about l / 3 of patients with syncope misdiagnosed as epilepsy. Syncope and epilepsy misdiagnosed due to both the Department of common clinical, and accompanied by many of the same episodic manifestations: loss of consciousness, pupil dilation, clonic beating tonic convulsions, incontinence, increased saliva secretion accompanied by vomiting fatigue after the onset of syncope and epilepsy are likely to occur. 晕厥与癫痫的鉴别诊断是相当困难的。据统计大约l／3的晕厥患者被误诊为癫痫。晕厥和癫痫极易误诊的原因是两者都系临床上常见，且伴有许多相同的发作性表现：意识丧失、瞳孔扩大、阵挛性跳动、强直性惊厥、大小便失禁、唾液分泌增多，伴有呕吐的发作后疲劳在晕厥和癫痫中都可能出现。 How to identify clinical epilepsy and syncope 　临床上如何鉴别癫痫与晕厥 　1, the main clinical symptoms of syncope is loss of consciousness, and therefore subject to epileptic generalized tonic-clonic or tonic-clonic seizures, complex partial seizures identify absence seizures and only a disturbance of consciousness. In general, the following points to support the diagnosis of syncope. 　1、晕厥的主要临床症状是意识丧失，因而须与癫痫的全身性强直阵挛或强直阵挛发作、失神发作和仅有意识障碍的复杂部分发作鉴别。一般说来，以下几点支持晕厥的诊断。 　Seizures often induced by anxiety or pain. 发作常由焦虑或疼痛诱导。 　Are standing or sitting. 　都在站立或坐位时发生。 Accompanied by pale, sweating. 　　伴有面色苍白、大汗。 　　Tonic-clonic activity and the tongue bitten or after the onset of confusion, drowsiness and headache. Bradycardia support syncope attack, although some episodes may also have heart rate, but rarely cause bradycardia. 　无强直一阵挛活动和舌咬伤或发作后意识模糊、昏睡及头痛。发作时心率减慢支持晕厥，虽然部分发作也可有心率减慢，但很少引起心动过缓。 　　2, EEG syncope and epilepsy to identify great value, tonic-clonic seizures in patients in the tonic phase showed amplitude gradually enhanced diffuse 10Hz wave the clonic phase for diffuse slow gradually slows, miscellaneousflocks of spikes, absence seizures can be seen in the regularity and symmetry 3Hz spike and slow wave, irregular the l ~ 2.5Hz sharp - slow wave and spike - slow wave the intermittent period 8