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本文报告53例肝硬化(肝炎后40例,血吸虫病12例,酒精中毒1例)所致肝昏迷的精神障碍,其中男35例,女18例,年龄17～57岁(31～50岁30例)。26例有肝昏迷发作史。25例行肝肾静脉吻合术。除肝硬化体征外,43例有神经系统体征(主要是病理反射,仅8例扑翼性震颤)。31例血氨中30例增高,26例脑电图中20例异常。精神障碍呈嗜睡4例(时有兴奋躁动2例,木僵和痴呆各1例),朦胧25例(兴奋躁动13
This article reports 53 cases of liver cirrhosis (40 cases of hepatitis, schistosomiasis in 12 cases, 1 case of alcoholism) caused by hepatic coma mental disorders, including 35 males and 18 females, aged 17 to 57 years (31 to 50 years old 30 example). 26 cases had a history of hepatic coma. 25 cases of liver and renal venous anastomosis. In addition to signs of cirrhosis, 43 had signs of nervous system (mainly pathological reflex, only 8 patients with flapping wing tremor). Thirty cases were elevated in 31 cases of blood ammonia, and twenty cases were abnormal in 26 cases of electroencephalogram. Psychotic disorders were drowsiness in 4 cases (sometimes excited restlessness in 2 cases, stupor and dementia in 1 case), hazy 25 cases (excited restlessness 13