癫痫是儿童疾病谱里的重要疾病,它对宝宝的远期死亡率会造成什么样的影响呢?Matti Sillanpaa和Shlomo Shinnar对245个癫痫宝宝进行了长达40年的队列研究。研究显示癫痫宝宝中已有60例(24%)死亡,是普通人群中同年龄同性别死亡率的3倍。其中,死亡个体中有51例至少5年没有癫痫发作,占缓解个体(107例)的48%。症状性癫痫比特发性或隐源性癫痫具有更高的死亡危险。在这60例死亡中,33例(55%)死因与癫痫有关,其中包括18例(30%)死因不明,9例(15%)确诊或疑诊死于癫痫发作,6例(10%)死于溺水。非癫痫原因的死亡主要发生在症状性癫痫。癫痫宝宝40年来不明原因死亡的危险率是7%,而未完全缓解也未接受治疗的话,这一危险率将增加到12%。特发性或隐源性癫痫的宝宝没有在14岁以前因不明原因死亡的。
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研究最后给出结论:儿童时期的癫痫发作是将来癫痫相关性死亡(包括不明原因的死亡)的危险因素,在未缓解的宝宝中尤其如此。所以癫痫宝宝的症状症状一定不能忽视,及时的治疗对其一生都有长远的好处。