肝性脑病48例诱因与预后的回顾性分析

目的　探讨肝性脑病的诱因与预后的关系。方法　 48例肝性脑病患者的临床资料进行回顾性分析。结果　肝性脑病的诱因依次为电解质紊乱 40例 ,上消化道出血 2 8例 ,肾功能不全 6例 ,感染 3例 ,药物 2例 ,妊娠及甲状腺机能减退症各 1例。结论　诱因的多少、严重程度与肝性脑病的发生发展及预后密切相关 ,积极去除诱因 ,护肝、保护脑细胞等综合疗法是治疗肝性脑病的关键。

Precipitating Factors and Prognosis of hepatic encephalopathy: retrospective analysis of 48 cases

Objective To investigate the relation between precipitating factors and prognosis of hepatic encephalopathy. Methods The clinical data of 48 cases with hepatic encephalopathy in this hospital were reviewed. Results The precipitating factors of hepatic encephalopathy were electrolyte disturbance (40 cases), upper gastrointestinal bleeding (28 cases), renal failure (6 cases), infection (3cases), drugs (2 cases), pregnancy (1 case), and hypothyroidism (1 case). Conclusions The numbers and severe digress of precipitating factors have closely relation to the occurrence, progression and prognosis of hepatic encephalopathy. Eliminating precipitating factors and protecting hepatic cells and encephalic cells are keys of comprehensive treatment of hepatic encephalopathy.