A retrospective analysis of 74 patients with hipatic encephalopathy
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摘要: 为研究肝硬化合并肝性脑病临床特点及影响预后的相关因素。选择74例肝硬化合并肝性脑病患者的临床资料进行回顾性分析。结果显示肝性脑病的最常见诱因为上消化道出血(44.6%)、感染(39.2%)、电解质紊乱(35.1%)。肝硬化合并HE病死率为22.97%。肝性脑病预后与诱因、脑病分期、肝功能、肾功能、血Na+、Child分级及有无并发症密切相关。积极去除诱因和防治并发症是治疗肝性脑病的关键。Abstract: To analyze retrospectively the clinical features and prognosis of patients with type C encephalopathy.74 cases of liver cirrhosis with hepatic thcephalopathy were selected to the study.We found that the most common factors that can precipitate hepatic encephalopathy of cirrhosis include gastrointestinal bleeding (44.6%) , infection (39.2%) , electrolyte disturbances (35.1%) ;The overall hospital mortality was 22.97%.The prognosis of type C encephalopathy is related to the precipitating factors, clinical stages of hepatic encephalopathy, liver function test, serum cratinine, serum Na+、Child classification and complications.Prevention and removal of precipitating factors and complications are very important to the treatment of HE.
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Key words:
- hepatic encephalopathy /
- cirrhosis /
- prognosis
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[1] 陈灏珠.实用内科学[M].第11版.北京∶人民卫生出版社, 2001∶1884-1889. [2]SherlockS, DooleyJ.Diseasesoftheliverandbiliarysystem[M].10th ed.London∶BlackScience, 1997∶87. [3]文黎明, 陈先菊.肝性病脑48例预后因素的多中心临床分析[J].四川医学, 1998, 19 (3) ∶261. [4]朱锦宏, 阮冰.肝硬化腹水并发低钠血症临床分析[J].肝脏, 2000, 7∶140-141.
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