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題 名 | 腦創傷後癲癇發作之預防探討=Anti-Epilepsy Drugs for Post-Traumatic Seizure in Patients with Brain Injury |
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作 者 | 廖珮斐; 李銘嘉; 吳安然; | 書刊名 | 藥學雜誌 |
卷 期 | 31:3=124 2015.09[民104.09] |
頁 次 | 頁80-84 |
分類號 | 418.21 |
關鍵詞 | 腦損傷; 抗癲癇藥品; 癲癇預防; Brain injury; Antiepileptic drugs; Seizures prophylaxis; |
語 文 | 中文(Chinese) |
中文摘要 | 癲癇發作是腦部創傷後最常見的併發症之一,又分為早發型與晚發型兩種,腦創 傷後7天內的癲癇發作為早發型,7天之後發作為晚發型。早發型與晚發型其預後與臨 床處置有所不同。病人發生腦創傷後,若未給予抗癲癇藥品預防損傷後引發的癲癇發 作,病人可能出現嚴重的癲癇重積現象,反而加重腦損傷部位的代謝性需求,導致腦 組織的二次傷害。本文以文獻回顧之方式描述早發型或晚發型癲癇的危險因子、型態 與使用抗癲癇藥品預防其發作的效果,其中在高風險或發生癲癇時可能增加顱內壓或 造成身體傷害的病人,短時間 (7天內) 使用抗癲癇藥品對於預防創傷性腦損傷所引起 的癲癇可明顯減少早發型的癲癇發作,但在晚發型癲癇發作因無法明顯減少晚發型癲 癇發作及其潛在的副作用,所以不建議使用抗癲癇藥品用於預防晚發型癲癇發作。 |
英文摘要 | Seizures are one of the most common complications after traumatic brain injury (TBI). They are divided into early and late post-traumatic seizures. Early post-traumatic seizures are defined by their occurrence within one week of head trauma. Seizures that occur early versus late after TBI have different implications for prognosis and management. Patients with early seizures are often treated with antiepileptic drugs (AEDs) because of the risk of status epilepticus or aggravation of a systemic injury. In addition, recurrent seizures may increase cerebral blood flow and could theoretically increase intracranial pressure. This review article will elucidate that the risk factors and clinical features of early and late posttraumatic seizures and the efficacy of AEDs for seizures prophylaxis. Short-term use of AEDs is recommended for the early seizures prophylaxis in high risk patients or patients whom seizures present a threat due to elevated intracranial pressure or systemic injury. Using AEDs to prevent late seizures or post-traumatic epilepsy is not recommended in patients who have not had a late post-traumatic seizure. There is a lack of demonstrated efficacy in this setting and many potential adverse events with these medications. |
本系統中英文摘要資訊取自各篇刊載內容。