[内科] 肝性脑病
Combination Therapy for Hepatic Encephalopathy?
肝性脑病联合治疗？
This article discusses on the pathogenesis of hepatic encephalopathy.
本文就对肝性脑病的发病机制进行综述。
Objective:To investigate the alkalosis and hypoxemia in patients with liver cirrhosis accompanied by hepatic encephalopathy(HE).
目的：探讨肝硬化患者并发肝性脑病（HE）时的碱中毒与低氧血症。
Objective To observe the efficacy of coenzyme complex in treating hepatic encephalopathy.
目的观察复合辅酶治疗肝性脑病的临床疗效。
Results Single factor analysis showed that hepatic encephalopathy, blood ammonia level and operative methods were related with abnormal mental status after liver transplantation.
结果：单因素分析显示，术前合并肝性脑病、术前血氨水平及手术方式与术后精神状态异常的发生有关。
Methods The clinical data of 4 patients with fulminant hepatic failure and hepatic encephalopathy treated with OLT were retrospectively analyzed.
方法回顾性分析4例暴发性肝衰肝性脑病病人行肝移植手术治疗的临床资料。
Objective To discuss the early diagnostic value of evoke potential detection of subclinical hepatic encephalopathy (SHE).
目的探讨诱发电位对亚临床肝性脑病的早期诊断价值。
Objective To investigate the effects of Qingkai Granule on neural evoked potential in subclinical hepatic encephalopathy(SHE) rats.
目的探讨清开颗粒对亚临床肝性脑病（SHE）大鼠神经诱发电位的影响。
Conclusions The changes of the amino acid receptor gated ion channel currents play an important role in the pathogenesis of hepatic encephalopathy.
结论氨基酸受体门控性离子通道电流改变在肝性脑病发生中起一定作用。
AIM The effect of brain-gut peptide(BGP)on the occurence and development of hepatic encephalopathy(HE)was stu***d.
目的：为探讨脑肠肽（BGP）在肝性脑病（HE）发生和发展中的作用。
In the patient and the animal model of hepatic encephalopathy, the function of glutamate neurotransmitter is bad, and receptor binding site is reductive and even lack.
肝性脑病患者及动物模型中谷氨酸神经递质功能不良，其受体结合位点减少甚至缺失。
Conclusion Plasma exchange is an effective method to hepatic encephalopathy.
结论血浆置换治疗肝性脑病疗效肯定。
Hepatology Digest: For the current state of affairs can you please summarize the main benefits and drawbacks of current therapeutic avenues for hepatic encephalopathy (HE).
《国际肝病》：能否请您就目前的形势总结下现今肝性脑病治疗途径中主要有哪些利弊？
Objective To explore the imbalance of the intestinal flora on ammonia concentrations in experimental rats with hepatic encephalopathy.
目的探讨肝性脑病实验大鼠肠道菌群失调对血氨浓度的影响。
Objective To study Psychometric measures and ERP-P300 in diagnosis of minimal hepatic encephalopathy.
目的研究简易智能测试和事件相关电位P300（ERP-P300）对轻微肝性脑病的诊断。
Objective:To study the relationship between free radical and hepatic encephalopathy after TIPSS by examing MDA in hepatic tissue and SOD in blood.
目的：测定TIPSS前后犬肝组织丙二醛（MDA）和犬静脉血************歧化酶（SOD）的变化，分析TIPSS术后氧自由基变化与肝性脑病的关系。
Acute liver failure leads to hepatic encephalopathy.
急性肝功能衰竭可导致肝性脑病。
Methods The clinical data of 48 cases with hepatic encephalopathy in this hospital were reviewed.
方法48例肝性脑病患者的临床资料进行回顾性分析。
Objective To investigate MRI characteristics, brain perfusion pattern in basal ganglion and extrapyramidal symptoms in patients with subclinical hepatic encephalopathy (SHE).
目的研究亚临床期肝性脑病（SHE）患者的MRI特征、基底节区的脑血流灌注模式及锥体外系损伤的表现。
Objective To observe the clinical efficacy of lactulose in different courses for patients with subclinical hepatic encephalopathy(SHE).
目的观察乳果糖对亚临床肝性脑病（SHE）不同疗程的疗效。
CONCLUSION : Qingchang Mixture is of better efficacy, convenient administration and lower cost for hepatic encephalopathy compared to lactulose.
结论：与口服乳果糖相比，“清肠合剂”灌肠用于治疗肝性脑病具有疗效优、给药方便、费用低廉等特点。
The results showed that the serum PRL levels ip both chronic hepatitis and hepatocirrhosis were higher than that in normal person, especially markedly higher in hepatic encephalopathy.
结果表明慢性肝炎和肝硬化血清PRL水平均高于正常，其中尤以肝性脑病患者最为显著。
Objective To explore the effects of the changes of the amino acid receptor gated ion channel currents on the pathogenesis of hepatic encephalopathy (HE).
探讨氨基酸受体门控性离子通道电流改变在肝性脑病（HE）发生中的作用。
Objectives: The aim of this study is to evaluate the therapeutic effectiveness of plasma adsorption with HA microporous resin in patients of severe hepatitis with hepatic encephalopathy.
目的观察HA中性大孔树脂血浆吸附治疗重型肝炎肝性脑病的治疗效果，探讨肝性脑病新的治疗方法。
Evaluation for possible hepatic encephalopathy is crucial in the physical examination in the patient with suspected liver disease.
在可疑肝脏疾病患者中通过体格检查评估可能的肝性脑病是很艰难的。
肝性脑病（Hepatic Encephalopathy, HE）是一种由严重肝功能障碍或门体分流引起的、以代谢紊乱为基础的神经精神综合征。其核心病理机制是肝脏解毒功能衰竭，导致毒性物质（尤其是氨）在体内蓄积，并通过血液循环进入大脑，干扰中枢神经系统的正常功能。
核心病理机制与诱因：
临床表现（West-Haven分级标准）：
诊断依据：
治疗原则：
来源依据：
肝性脑病（Hepatic Encephalopathy，HE）是一种由严重肝病或门体静脉分流引起的神经系统功能紊乱综合征，其核心特征为代谢紊乱导致的中枢神经系统异常。以下是详细解释：
肝性脑病的诊断需结合肝病史及神经精神评估，治疗重点在于纠正代谢异常和去除诱因。如需进一步了解具体病例或治疗方案，可参考临床指南或权威医学文献。
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