肝硬化合并肝性脑病74 例回顾分析.pdf

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166 C1hin J Clini Hepatol ,June 2005 ,Vol 21 ,No 3
肝硬化合并肝性脑病 74 例回顾分析
王宇1 ,朴云峰2 ,许贤姬3
(1 大连市友谊医院消化科,辽宁大连 116001 ;2 吉林大学第一医院消化科,吉林长春 130021 ;3 大连大学
附属医院消化内科,辽宁大连 116000)
【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。
【关键词】肝性脑病;肝硬化;预后
【中图分类号】R575 3 【文献标识码】B 【文章编号】1001 - 5256(2005) 03 - 0166 - 02
A retrospective analysis of 74 patients with hipatic encephalopathy WANG Yu , PIAO Yun - Feng , XU Xian - Ji ( Digestive
Dept. of No. 1 Afficiated Clinical Hospital , Jilin university , Chang Chun ,130021)
Abstract :To analyze retrospectively the clinical features and prognosis of patients with type C encephalopathy. 74 cases of liver cir
rhosis with hepatic thcephalopathy were selected to the study. We found that the mon 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 encephalopa