脑电图(Electroencephalogram, EEG)可将癫痫患者发作期及发作间期的癫痫样放电准确地记录下来,从而对癫痫的临床诊断及治疗发挥重要指导作用。本文阐明了脑电图异常放电(Abnormal Discharge)检出率的相关影响因素,包括脑电图监测时间、癫痫的类型、发作频率、是否合理应用抗癫痫药物、压力及诱发试验,为脑电图在癫痫诊断中的常规应用提供可靠依据。Electroencephalogram (EEG) can accurately record seizure and interseizure epileptic discharges (IED) of epilepsy patients, thus playing an significant guiding role in the clinical diagnosis and treatment of epilepsy. This article elucidates the relevant influencing factors on the detection rate of abnormal discharge in electroencephalogram (EEG), including EEG monitoring time, type of epilepsy, seizure frequency, rational use of antiepileptic drugs, stress and provocative test, providing reliable basis for the routine application of EEG in epilepsy diagnosis.
脑梗死是一种比较常见的脑血管疾病,特点是高致残率和高致死率。因而,对患者病情进行早期有效的判断,从而指导临床医生为患者制定恰当的治疗方案,使患者死亡率进一步降低。研究发现D-二聚体(D-Dimer, D-D)和超敏C反应蛋白(High Sensitive C-Reactive Protein, hs-CRP)在急性脑梗死中具有一定诊断价值。本文对D-二聚体、超敏C反应蛋白在急性脑梗死诊断方面的应用价值进行阐述。Cerebral infarction is a relatively common cerebrovascular disease, with characterized by high disability rate and high fatality rate. Therefore, early and effective assessment of patients’ conditions can guide clinicians to formulate appropriate treatment plans for patients, and further reduce the mortality of patients. It is found that D-Dimer (D-D) and high sensitive C-reactive protein (hs-CRP) has high clinical value in acute cerebral infarction. This article reviews the application value of D-Dimer (D-D) and high sensitive C-reactive protein (hs-CRP) in the diagnosis of acute cerebral infarction.