肝硬化并肝性脑病诱因及预后分析  

Analysis of precipitating factors and prognosis for cirrhosis and hepatic encephalopathy

作　　者：贾勇慧[1] 刘宇红[1] 王雅滨[1] 

机构地区：[1]哈尔滨242医院,150066

出　　处：《航空航天医药》2004年第4期210-211,共2页Aerospace Medicine

摘　　要：目的 :分析肝硬化并肝性脑病的诱因及预后。方法 :对 94例肝硬化并肝性脑病患者的临床资料回顾性分析。结果 :肝性脑病的诱因依此为上消化道出血 3 8例 (4 0 .4% ) ,医源性因素 (包括利尿、放腹水、手术、药物 ) 2 8例 (2 9.8% ) ,高蛋白饮食 11例 (11.7% ) ,感染 9例 (9.6% ) ,原因不明 6例 (6.4% ) ,便秘 2例 (2 .1% )。各种诱因诱发的肝性脑病病死率 :消化道出血 2 1例 (4 8.8% ) ,医源性因素 14例 (3 2 .6% ) ,感染 3例 (7.0 % ) ,原因不明 5例 (11.6% )。结论 :肝性脑病的预后与诱因是否消除及肝功能状态有关 ,而消除诱因是治疗肝性脑病的关键。Objective:To analyse the precipitating factors and prgnosis for cirrhosis and hepatic encephalopathy.Methods:The clinical data of 94 patients with cirrhosis and hepatic encephalopathy in this hospital were reviewed.Results:The precipitating factors of hepatic encephalopathy in turn were upper gastrointestinal haemorrhage in 38 patients (40.4%), iatrogenic factors(including operation, diuretic therapy, parcentesis, transfusion and drugs) in 28 patients (29.8%), infection in 9 patients(9.6%), high protein diet in 11 patients(11.7%), unknown reasons in 6 patients(6.4%),constipation in 2 patients (2.1%). The death rate of hepatic encephalopathy caused by various precipitating factors:upper gastrointestinal haemorrhage in 21 patients(48.8%), iatrogenic factors in 14 patients (32.6%), infection in 3 patients(7.0%),unknown reasons in 5 patients(11.6%).Conclusion:The prognosis of hepatic encephalopathy has relation with the eliminating of the precipitating factors and liver function status. Eliminating the precipitating factors is the key to hepatic encephalopathy treatment.

关 键 词：肝性脑病 诱因 预后 

分 类 号：R575.2[医药卫生—消化系统]