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目的分析肝性脑病的诱因,探讨其诱因与预后的关系。方法对本院收治的60例肝性脑病患者的临床资料进行回顾性研究。结果肝性脑病的诱因依次为医源性因素(包括利尿、放腹水、手术、药物)29例次(48.33%),感染21例次(35.00%),上消化道出血11例次(18.33%),肾功能不全9例次(15.00%),高蛋白饮食5例次(8.33%),便秘4例次(6.67%)。诱因的多少及严重程度与肝性脑病的发生、发展及预后密切相关。结论积极去除诱因是治疗肝性脑病的关键。
Objective To analyze the causes of hepatic encephalopathy and explore its relationship with the prognosis. Methods The clinical data of 60 patients with hepatic encephalopathy admitted to our hospital were retrospectively studied. Results The causes of hepatic encephalopathy were iatrogenic factors (including diuresis, ascites, surgery and drugs) in 29 cases (48.33%), infection in 21 cases (35.00%), upper gastrointestinal bleeding in 11 cases (18.33% ), Renal insufficiency in 9 cases (15.00%), high protein diet in 5 cases (8.33%) and constipation in 4 cases (6.67%). The number and severity of causes and hepatic encephalopathy occurrence, development and prognosis are closely related. Conclusion It is the key to treat hepatic encephalopathy by actively removing the causes.