肝性脑病又称肝昏迷,是指在严重肝脏疾病时出现的神经精神综合征。它是内科急症之一,死亡率很高,应及早积极抢救。目前对其发病机理的认识虽有所提高,但治疗上还存在不少困难,距满意疗效尚远,必须不断努力,摸索新的、更有效的疗法。现仅将其临床表现和治疗,概述如后。临床表现一、临床类型肝性脑病临床上可分为急性型与慢性型两种: (一) 急性型:见于两种情况,一类见于暴发型肝炎,发病急骤,病人经短期兴奋、躁动等谵妄状态后很快进入深昏迷。一类见于较为严重的肝炎或肝硬化末期,受到某些诱因之后迅速发生昏迷。(二) 慢性型:表现为间歇发生的波动性意识与运动障碍,病程可达数月至数年,多首先表现为定向 Hepatic encephalopathy, also known as hepatic coma, refers to neuropsychiatric syndrome that occurs in severe liver disease. It is one of the medical emergency, the mortality rate is very high, should be actively rescued as soon as possible. Although the current understanding of its pathogenesis has improved, but there are still many difficulties in treatment, away from the satisfactory effect is still far, we must continue to work hard to explore new and more effective therapies. Now only its clinical manifestations and treatment, outlined as follows. Clinical manifestations of a clinical type of hepatic encephalopathy can be divided into two types of acute and chronic clinical: (A) acute type: seen in two cases, one found in fulminant hepatitis, sudden onset, the patient after short-term excitement, restlessness, etc. Into the deep unconscious state after delirium. A group found in the more severe hepatitis or cirrhosis of the end, after some incentives rapid coma. (B) chronic type: the performance of intermittent fluctuations in consciousness and movement disorders, the course of up to several months to several years, and more for the first performance of the orientation