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腹痛型癫痫是较少见的癫痫类型,临床上以发作性植物神经症状为主,一般不伴有躯体的抽搐。本病不易早期确诊,常被误诊或漏诊,为了提高对本病的认识,现将我们几年来的经脑电图检查证实及抗癫痫药物治疗有效而确诊的6例腹痛型癫痫报告如下。1 临床资料1.1 一般资料.6例中男2例,女4例。发病年龄均在7～15岁。病程1个月者1例,6个月2例,1年以上者3例。有高热惊厥史者4例,出生后窒息1例,1例无明显原因。1.2 临床表现.6例均以腹痛为主。发作时伴有面色苍白及大汗3例,伴有恶心1例。疼痛部位,除2例偏左上腹外,4例均在脐周。发作持续时间:5～
Abdominal pain-type epilepsy is a rare type of epilepsy, clinically the main attack of autonomic symptoms, usually not associated with body convulsions. The disease is not easy to diagnose early, often misdiagnosed or missed diagnosis, in order to improve awareness of the disease, now we have confirmed by the EEG over the past few years and anti-epileptic drug treatment and effective diagnosis of 6 cases of abdominal pain-type epilepsy reported below. 1 Clinical data 1.1 General information .6 cases of 6 males and 4 females. Age of onset are 7 to 15 years old. 1 month course of disease in 1 case, 6 months in 2 cases, more than 1 year in 3 cases. 4 cases of history of febrile seizures, 1 case of suffocation after birth, 1 case no obvious reason. 1.2 Clinical manifestations .6 cases were mainly abdominal pain. Attack accompanied by pale and sweat in 3 cases, accompanied by nausea in 1 case. Pain site, in addition to 2 cases of left upper abdomen, 4 cases were in umbilical weeks. Attack duration: 5 ~