轻微型肝性脑病诊断研究进展  

Diagnosis of minimal hepatic encephalopathy

作　　者：何润莲 杨晋辉[1] 

机构地区：[1]昆明医科大学第二附属医院肝胆胰内科,昆明市650101

出　　处：《实用肝脏病杂志》2014年第3期325-328,共4页Journal of Practical Hepatology

摘　　要：轻微型肝性脑病常并发于肝硬化及各种门体分流术患者。由于缺乏典型的临床表现及生化异常，只能通过心理智能测试及神经电生理等检查发现，其发病率已升至30%～84%。轻微型肝性脑病可对患者的日常生活造成影响，无干预的轻微型肝性脑病易发展为显性肝性脑病。该病尚无公认的诊断“金标准”。本文介绍了国内外对轻微型肝性脑病的诊断方法。Minimal hepatic encephalopathy （MHE） is a common complication of decompensated liver cirrhosis or in pa-tients with various portal-systemic shunt. Due to lack of typical clinical features and biochemical abnormally, MHE can only be diagnosed through psychometric or neurophysiological tests. And its incidence has increased to 30% to 84%. MHE affects daily life of patients, and it may make progress to overt hepatic encephalopathy without intervention. So far, there is no well estab-lished method to define its diagnosis as golden standard. This review mainly introduces the diagnostic methods applied at home and abroad.

关 键 词：肝性脑病 轻微型 诊断 心理智能 神经电生理 

分 类 号：R747.9[医药卫生—神经病学与精神病学]