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肝性脑病是一种临床综合征,其特征是有严重肝功能不全的病人并发精神异常。这是一种神经精神疾病,伴有特征性的但非特异性的中枢神经系统的组织结构的损伤。临床表现为轻度精神状态改变以至于昏迷。神经肌肉并发症可能为共济失调及震颤、眼肌麻痹和失禁。肝昏迷症状与肝功能衰竭进展速度及严重程度直接相关。随着许多肝毒性药物问世和原患肝功能不全病人的大量饮酒,目前在大多数大城市医院中肝性脑病是一种常见的病症。尽管肝性脑病的预后是令人沮丧的,但实际上比任何其它原因所致之非创伤性昏迷为好。另外,经过一些简单方法如避免过量饮酒,低蛋白饮食,合理使用导泻药乳果糖(laclulose)或新
Hepatic encephalopathy is a clinical syndrome characterized by abnormal psychosis in patients with severe hepatic insufficiency. It is a neuropsychiatric disorder with a characteristic but nonspecific damage to the tissue structure of the central nervous system. Clinical manifestations of mild mental changes that even coma. Neuromuscular complications may be ataxia and tremor, ophthalmoplegia and incontinence. Hepatic coma symptoms are directly related to the rate and severity of liver failure progression. Hepatic encephalopathy is a common condition in most metropolitan hospitals, with the advent of many hepatotoxic drugs and the heavy drinking of patients with previous liver insufficiency. Although the prognosis of hepatic encephalopathy is frustrating, it is actually better than any other non-traumatic coma. In addition, after some simple methods such as avoiding excessive alcohol consumption, low protein diet, rational use of laclulose or new