Pawn 發問時間: 社會與文化語言 · 1 0 年前

可以幫我翻Status epilepticus~~~?

When should I refer my patient?

Patients with suspected non-convulsive status epilepticus should be referred to a neurologist, and all patients with status epilepticus that has not responded to first line treatment (benzodiazepine and phenytoin) should be referred to a neurologist for further management.

What's the outlook?

The prognosis for convulsive status epilepticus is poor, with a mortality of 10-20%.1-5 The risk of cognitive decline and development of epilepsy (late spontaneous seizures) is increased.

Sample questions

Here is a small sample of the questions that you can find at the end of this module. To see all the questions and to get the answers, go to http://www.bmjlearning.com/ and search for "status epilepticus"

A 60 year old man has a seizure in the casualty department. He receives lorazepam and an intravenous glucose infusion. His CT brain scan is normal and he slowly wakes up. But on the fourth day of his hospital admission he becomes confused and develops nystagmus. What is the most likely diagnosis?

Vitamin B-1 deficiency

Vitamin B-2 deficiency

Vitamin B-12 deficiency

Vitamin B-6 deficiencncy

Which of the following adverse events is not associated with intravenous phenytoin?

Dyskinesia

Rash

Hyperammonaemia

Purple glove syndrome

A 30 year old woman with a history of anxiety disorder has a seizure. She is given rectal diazepam by the paramedics and her seizure stops. On arrival in casualty she is unconscious. Her eyes are shut, and there is intermittent poorly coordinated jerking of her arms with arching of her back, and rolling of her head from side to side. What is the most likely diagnosis?

Non-epileptic attack

Status epilepticus

Neuroleptic malignant syndrome

4 個解答

評分
  • 匿名使用者
    1 0 年前
    最佳解答

    何時應轉介我的病人?

    患者若懷疑有非惊厥性癲癇持續狀態應轉介到神經病專科醫生,所有有癲癇持續狀態的患者若對第一線藥物治治療(benzodiazepine安息香重氮类安眠药和phenytoin苯妥英)沒有反應,應轉介給神經病專科醫生作進一步處理.

    前景如何?

    惊厥性癲癇持續狀態的預後很差,死亡率10-20%.認知力下降及癲癇繼續發展的風險增加。

    範例問題

    這一課後有一些範例問題.要看所有問並取得答案,請到http://www.bmjlearning.com/ 並以" status epilepticus"尋找.一個60 歲人在急症室癲癇突發。他接受lorazepam(劳拉西泮)和靜脈內葡萄糖注射。他的CT 腦掃瞄正常,並且慢慢甦醒。但入院後第四天他的入院他變得迷茫和眼球震顫。可能的診斷是什麼?

    維生素B-1 缺乏

    維生素B-2 缺乏

    維生素B-12 缺乏

    維生素B-6缺乏

    以下那一項並不与靜脈內注射phenytoin有關?

    運動障礙

    皮疹

    高氨血症

    Purple glove syndrome

    一名 30 歲有焦虑症的歷史的婦女,癲癇突然發作。醫務人員經直腸給她(diazepam安定)後,她的癲癇發作就停止了。在到來急症室時,她是昏迷的。她的雙眼閉上,手臂有斷斷續續不協調的肌肉痙攣,背部弓著,頭部左右滾動.最可能的診斷是什麼?

    非癲癇發作

    癲癇持續狀態

    類神經惡性綜合症

  • 1 0 年前

    那球大哥您幫幫小妹的忙ㄅ???

  • 1 0 年前

    第一句 "When should I refer my patient?" 翻成 "何時我應該提到我的患者?" 根本就是牛頭不對馬嘴!!!

    真正的意思是 "何時我應該轉介(轉診)我的病人?"

    醫學永遠是最專業的學問, 一般人是插手不上的.

  • 1 0 年前

    何時我應該提到我的患者?

    患者與被懷疑的非震動性狀態epilepticus 應該提到神經學家, 並且所有患者與未反應第一條線治療的狀態epilepticus (benzodiazepine 和phenytoin) 應該提到一位神經學家為進一步管理。

    什麼是外型?

    預測為震動性狀態epilepticus 是窮的, 以必死10-20%.1-5 認知decline 風險並且癲癇症(晚自發奪取的) 發展被增加。

    樣品問題

    這您能發現在這個模塊的末端問題的一個小樣品。看所有問題和得到答復, 去http://www.bmjlearning.com/ 和尋找"狀態epilepticus"

    一個60 歲人有奪取在傷亡部門。他接受lorazepam 和靜脈內葡萄糖注入。他的CT 腦子掃瞄是正常的並且他慢慢地醒。但在第四天他的入院他變得迷茫和開發眼顫。什麼是很可能診斷?

    維生素B-1 缺乏

    維生素B-2 缺乏

    維生素B-12 缺乏

    維生素B-6 deficiencncy

    哪些以下有害事件不同靜脈內phenytoin 聯繫在一起?

    運動障礙

    Hyperammonaemia

    紫色手套綜合症狀

    一名30 歲婦女以憂慮混亂的歷史有奪取。她由醫務人員和她的奪取中止給直腸苯甲二氮卓。在到來在傷亡她是不自覺的。她的閉上, 並且有斷斷續續窮地被協調的急拉她的胳膊以成拱形她, 和滾動她的頭從一邊到另一邊。什麼是很可能診斷?

    非癲癇的攻擊

    狀態epilepticus

    Neuroleptic 惡性綜合症狀

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