PT -期刊文章盟-斯蒂芬Mayer盟Tanuwong Viarasilpa AU - Nicha Panyavachiraporn盟科- Gamaleldin奥斯曼盟帕诺什·万利拉盟- Noel Akioyamen TI -病人插管心因性Non-epileptic癫痫的特点(p3.9 - 072) DP - 2019年4月09年TA -神经病学第六PG - p3.9 - 072 - 92 IP - 15补充4099 - //www.ez-admanager.com/content/92/15_supplement/p3.9 072. - 0首页72.短4100 - //www.ez-admanager.com/content/92/15_supplement/p3.9 - -全所以Neurology2019 4月09年;92 AB -目的:本研究的特点和结果描述插管心因性non-epileptic癫痫患者。背景:心因性non-epileptic癫痫患者(pn)有时接受积极治疗导致急诊气管插管(ED)。设计/方法:我们回顾了pn作为放电诊断患者接受连续脑电图(cEEG)监测在亨利福特医院2012年1月至2017年10月。人口、临床表现和治疗ED, pn之间和cEEG报告比较患者插管和那些没有。结果:1735个病人cEEG监测、144例pn作为主要诊断。24(17%)插管。non-intubated患者相比,插管pn患者更有可能是白色(91%比63%,P = 0.01),录取格拉斯哥昏迷评分较低分数(12(11 - 15号的四分位范围,差)和15位差领路人依旧,P & lt;0.001),抽搐的症状在ED(100%比76%,P = 0.004),发作持续时间更长在ED(12(差2-49)和2位差1 - 7分钟,P = 0.044),此外,更频繁地插管pn患者被诊断为癫痫持续状态(88%比8%,P & lt;0.001),处理多个抗癫痫药物(aed, 2(差1 - 3)和1(差1 - 2),P = 0.001)和连续注入aed (CIV-AEDs, 55%比9%,P & lt;0.001),并得到了高剂量的苯二氮卓类(30(差18-44)与10位差5 - 20毫克的安定等价物,P = 0.001)。 There was no mortality; the rate of re-hospitalization within 30 days was substantially higher in intubated PNES patients (21% vs 5%, P = 0.02).Conclusions: Seventeen percent of PNES patients were intubated, and these patients have a high rate of re-hospitalization. Prolonged seizure duration, depressed level of consciousness, and aggressive treatment with benzodiazepines place PNES patients at risk for unnecessary intubation.Disclosure: Dr. Mayer has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Idorsia, Edge, and NFL. Dr. Viarasilpa has nothing to disclose. Dr. Panyavachiraporn has nothing to disclose. Dr. Osman has nothing to disclose. Dr. Varelas has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Portola. Dr. Akioyamen has nothing to disclose.

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