严重肝病引起的以代谢紊乱为基础的神经.pptVIP

Hepatic Encephalopathy Definition (1) Hepatic encephalopathy (HE) It represents a reversible decrease in neurological function, based upon the disorder of metabolism which is caused by severe decompensated liver disease . 严重肝病引起的以代谢紊乱为基础的神经、精神综合征。主要临床表现为意识障碍、行为失常和昏迷 Definition (2) Subclinical or latent HE diagnosed only by precise mental tests or EEG, no obvious clinical and biochemical abnormalities Incidence/prevalence Universal feature of acute liver failure 50%~70% in chronic hepatic failure Difficult to estimate Etiology Fulminant hepatic failure acute s