肝性脑病的诊断和治疗  

Diagnosis and Treatment for Hepatic Encephalopathy

作　　者：丁凯[1] 胡平方[1] 谢渭芬[1] 

机构地区：[1]第二军医大学附属长征医院消化内科,200003

出　　处：《胃肠病学》2015年第2期65-71,共7页Chinese Journal of Gastroenterology

摘　　要：肝性脑病是失代偿期肝硬化最常见的并发症之一,可引起不同程度的神经精神异常。肝性脑病发病机制尚未完全明确,其诊治仍是临床的难点。本文叙述肝性脑病的分级、分类、诊断、治疗,以进一步提高对该病的认识,规范临床诊治。Hepatic encephalopathy（ HE） is one of the most common complications of decompensated liver cirrhosis and causes a wide spectrum of neurological or psychological impairment ranging from minimal alterations to coma. The pathophysiology of HE is still controversial and the diagnosis and treatment remains to be a challenge in clinical practice.The purpose of this article is to make a brief summary of latest consensus on the grade,classification,diagnosis and treatment of HE,so as to improve the recognition of HE and formulate the strategy for the diagnosis and treatment of HE.

关 键 词：肝性脑病 早期诊断 治疗 共识 乳果糖 利福昔明 

分 类 号：R575.3[医药卫生—消化系统]