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1400例住院癫癎病人的病因分析

An Etiological Analysis of 1,400 Epileptic Patients

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【作者】 秦震; 张沅昌; 瞿治平;

【Author】 Chin Cheng Chang Yuan-ch’ang Chu Chih-ping (Department of Neurology,Shanghai First Medical College)

【机构】 上海第一医学院神经病学教研组; 上海第一医学院神经病学教研组;

【摘要】 <正> 癫痫是神经科的一个常见疾病,有关其病因研究,本院曾有报导。近年来由于临床电生理的发展,有关癫痫的一些基本概念也发生了一定的改变,所以有必要在此基础上对这一问题进行重新估价。我们收集了上海第一医学院附属第一医院神经科自1950年1月至1960年12月同住院病人中有癫痫症状者共1,400例,就其病因作以下分析讨论。病因本组中,症状性癫痫1,322例,占94.86%,“原发性”癫痫78例,占5.14%(表1)。“原发

【Abstract】 The etiological factors of 1,400 epileptic pa- tients admitted to our department during the period from January 1950 to December 1960 were analyzed.1,322 patients(94.86%)belonged to the group of symptomatic epilepsy,while there were only 78 cases(5.14%)of the so-called idiopathie epilepsy.In the symptomatic group,the most frequent cause was cerebral disease—1,029 pa- tients(73.93%).The seizure of 435 cases(31.07%) was due to infectious diseases of the brain(cere- bral parasitosis,encephlitis,meningitis etc.)which are the most common causes of cerebral disease. Following in order of frequency were cerebral neoplasm(221 patients,15.79%)and cerebral vascular disease(127 patients,9.07%).

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