Alcohol-Related Seizures
Alcohol-Related Seizures
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DOI：
10.1016/j.emc.2010.08.010
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发表时间：
2011-02-01
影响因子：
1.2
通讯作者：
Liss, Jonathan L.
中科院分区：
文献类型：
--
作者：
McMicken, David;Liss, Jonathan L.
术语酒精相关性癫痫发作（ARS）是指与酒精使用相关的所有癫痫发作，包括酒精戒断性癫痫发作（AWS）的子集。从20%到40%的癫痫患者谁提出了急诊科癫痫发作与酗酒有关。然而，在进行仔细的诊断评估之前，避免过早地将癫痫发作标记为由酒精戒断引起是至关重要的。单用苯二氮卓类药物就足以预防AWS。有记录的ARS病史的酒精患者，如果发生单次癫痫发作或短暂的癫痫发作，应静脉注射劳拉西泮2 mg。
The term alcohol-related seizures (ARS) is used to refer to all seizures in the aggregate associated with alcohol use, including the subset of alcohol withdrawal seizures (AWS). From 20% to 40% of patients with seizure who present to an emergency department have seizures related to alcohol abuse. However, it is critical to avoid prematurely labeling a seizure as being caused by alcohol withdrawal before performing a careful diagnostic evaluation. Benzodiazepines alone are sufficient to prevent AWS. The alcoholic patient with a documented history of ARS, who experiences a single seizure or a short burst of seizures should be treated with lorazepam, 2 mg intravenously.