肝昏迷是肝痛的严重表现,但并非必死之证。一院肝病组同志从308例肝昏迷中发现有一部分病人可从数次昏迷中抢救过来。这就告诉我们,对肝昏迷病人,医生应当以高度的责任感,竭尽全力地进行有效的抢救。 肝昏迷的发生往往有一定的诱因,注意避免这些诱因,可起到预防作用。肝昏迷经常有前驱症状,尽早发现昏迷前兆采取有效预防措施,及早施治,常可缓解病情。文中对这些问题作了分析与讨论,并着重从氨中毒及神经传导介质改变的角度,探讨了本病的防治措施。 Hepatic coma is a serious manifestation of liver pain, but not necessarily mortal evidence. A group of liver disease comrades from 308 cases of hepatic coma found that some patients can be rescued from several coma. This tells us that doctors should do their utmost to carry out effective rescue in patients with hepatic coma. The occurrence of hepatic coma often have some incentive, pay attention to avoid these incentives, can play a preventive role. Hepatic coma often has prodromal symptoms, early detection of comatose precursors to take effective preventive measures, as soon as possible, can often alleviate the condition. The paper analyzes and discusses these problems, and focuses on the prevention and treatment of this disease from the point of view of the change of ammonia poisoning and nerve conduction medium.