据统计多达83%复合性限局性发作被误诊为“小发作”,相反,精神性或假性发作也易误认为复合性限局性发作。作者对40例复合性限局性发作的诊断标准与鉴别诊断作了探讨;男性22例、女性18例,年龄范围12岁～58岁(平均26岁),发病年龄6个月～52岁(平均11.5岁),病程3～30年(平均13年);28例有全身强直发作史,5例有头部外伤史,2例脑瘤史、3例新生儿并发症、4例中枢神经系统感染、1例动静脉畸形、1例有蛛网膜囊肿,其中10例有智力障碍,但有神经限局所见者仅占2例。从发作的持续时间见,40例为5～998秒(平均128秒);发作期3～343秒(平均54秒),发作后期3～767秒(平均89秒)。先兆不常见,40例中仅有9例有先兆。在159次发作中出现自动症(97%),其中表现躯干与下肢者132次(80%),自动症出现次数与发作持 According to statistics, as many as 83% of composite limited-seizure was misdiagnosed as “minor seizures”, on the contrary, mental or pseudo-seizures are also easily mistaken for composite limited-seizure. The authors investigated the diagnostic criteria and the differential diagnosis of 40 patients with composite limited-liability seizures; 22 males and 18 females, ranging in age from 12 to 58 years (mean, 26 years) with a mean age of onset of 6 months to 52 years (mean 11.5 years), duration of 3 to 30 years (average 13 years); 28 cases had a history of tonic seizures, 5 cases of history of head trauma, 2 cases of brain tumor history, 3 cases of neonatal complications, 4 cases of central nervous system infection , 1 case of arteriovenous malformations, 1 case of arachnoid cysts, of which 10 cases of mental retardation, but there are only 2 cases of neurological limitations seen. From the duration of the episode, 40 were 5 to 998 seconds (mean 128 seconds); the attack period was 3 to 343 seconds (average 54 seconds); and the last episode was 3 to 767 seconds (average 89 seconds). The precursors are uncommon and only 9 of 40 have aura. Autoimmune episodes occurred in 159 episodes (97%), with 132 (80%) showing torso and lower extremities, the number of episodes of autoimmune episodes