轻微型肝性脑病诊断研究进展 |
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引用本文: | 何润莲[综述],杨晋辉[审校].轻微型肝性脑病诊断研究进展[J].实用肝脏病杂志,2014(3):325-328. |
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作者姓名: | 何润莲[综述] 杨晋辉[审校] |
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作者单位: | 昆明医科大学第二附属医院肝胆胰内科,昆明市650101 |
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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。
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关 键 词: | 肝性脑病 轻微型 诊断 心理智能 神经电生理 |
Diagnosis of minimal hepatic encephalopathy |
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Institution: | He Runlian,Yang Jinhui( Second Affiliated Hospital,Kunming Medical University,Kunming 650101) |
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Abstract: | 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. |
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Keywords: | Minimal hepatic encephalopathy Diagnosis Psychometric tests Neurophysiological tests |
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