【摘要】 目的　探讨卒中后癫痫的发生率、临床特征及预后。方法　对８８７ 例确诊为首次脑卒中者，进行病例资料调查与门诊随访。结果　卒中后迟发性癫痫的发生率为５ ．１９ ％ ；继发癫痫的各类型卒中，以脑血栓形成为最多８ ．７６ ％ ；蛛网膜下腔出血５ ．７１ ％ ，脑栓塞５ ．１３ ％ ，脑出血２ ．３８ ％ ，腔隙性脑梗塞最少１ ．１６ ％ 。结论　卒中后迟发性癫痫有发生以病灶的部位（ 皮层或脑叶） 密切相关；抗癫痫药物对卒中后迟发癫痫大多有效，但某些病例需持续正规服药；本组病例死亡率为８ ．６９ ％ ，主要与卒中后并发症有关。更多还原

【Abstract】 Obectives To study the attack rate . Clinical characteristic and prognsis of form tardive epileptic after apoplexy . Methods To study the data of cases and to follow up the outpatients from 887 cases which had been identified as epilepticforthefirsttime . Results Atacr rate offorme tardive epileptic afterapoplexy was 5 .19 % . In varioustypesof apopiexy ofsecodary epileptic.cere bralthrombosis was 8 .76 % .subarachnoid hemorthage was 5 .71 % .cerebal embolism is 5 .13 % .cerebral hemorrhage was 2 .38 .theleast oflacunerinfarct was 1 .16 % . Cnclusions Forme tardive epileptic after apoplexy may closely contribute to focus of infection(cerebralcortex orlobes ofcerebrum) . Most of antiepileptic maytake effecttoformetardiveepileptic . Butsome ofthe cases need regu larly and continuously take drugs. Mortality rote ofthis group was 8 .69 % .complications after eplieptic were main reasons of death .更多还原