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暴发性肝衰竭(FHF)并发脑水肿,已为不少学者所证实,而慢性肝衰竭并发脑水肿则罕有报道。本组经尸检证实的24例失代偿肝硬化患者,10例有脑水肿,其中5例出现小脑扁桃体疝。现将临床资料初步分析如后,以提高对本病的认识。一、病例选择52例严重肝病尸检病例中,凡病理证实为失代偿肝硬化并有颅脑检查结果者作为选择对象,共24例,脑水肿的病理依据为:大体观察有脑回变平、脑沟变浅及/或脑疝形成;组织学上主要表现为
Fulminant hepatic failure (FHF) complicated with cerebral edema has been confirmed by many scholars, while chronic liver failure complicated with cerebral edema is rarely reported. The group confirmed by autopsy 24 cases of decompensated cirrhosis, 10 cases of cerebral edema, of which 5 cases of cerebellar tonsillar hernia. Clinical information is now a preliminary analysis such as after, in order to raise awareness of the disease. First, the case selection 52 cases of severe liver disease autopsy, where the pathology confirmed as decompensated cirrhosis and brain examination results were selected as the object, a total of 24 cases, the pathological basis of cerebral edema: a general observation of flat back to the level of the brain , Sulci shallow and / or hernia formation; histological mainly as