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肝硬化肝性脑病诊疗指南 被引量:109

Guidelines for the diagnosis and management of hepatic encephalopathy in cirrhosis
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摘要 肝性脑病(hepaticencephalopathy,HE)是由急、慢性肝功能严重障碍或各种门静脉-体循环分流(以下简称门一体分流)异常所致的、以代谢紊乱为基础、轻重程度不同的神经精神异常综合征。 Current guideline developed by the Chinese Society of Hepatology on the management of hepatic encephalopathy in cirrhosis is grounded on the published evidences and panelists' consensus. This guideline presents recommendations for diagnosis and management of covert and overt hepatic encephalopathy, and underline the importance of screening minimal hepatic encephalopathy in patients with end-stage liver diseases. In addition, it also stresses that early identification and timely treatments are the means to know the prognosis. The principles of treatment are primary and secondary prevention, prompt removal of the cause, and recovery of acute neuropsychiattic abnormalities to baseline status.
出处 《中华肝脏病杂志》 CAS CSCD 北大核心 2018年第10期721-736,共16页 Chinese Journal of Hepatology
关键词 肝硬化 肝性脑病 诊断 治疗 Liver cirrhosis Hepatic encephalopathy Diagnosis Therapy
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