About 100 cases of hepatic encephalopathy rescue experience（对100例肝性脑病救援经验）.docVIP

About 100 cases of hepatic encephalopathy rescue experience [Keywords] hepatic encephalopathy, complications, treatment effect INTRODUCTION hepatic encephalopathy is caused by severe liver disease, metabolic disorders based on the central nervous system dysfunction syndrome, its main clinical manifestations of disturbance of consciousness, behavioral disorders and coma [1]. 200,505 in our hospital hepatic encephalopathy 100 cases, the application of branched-chain amino acids 3H injection, acetyl glutamine, glutamic acid and potassium where 187 cases, 88 cases of awake, the effective rate of 47.05%. now affect the treatment of the following factors. 1 objects and methods 1.1 object in our hospital patients with hepatic encephalopathy 100 (male 68, female 32 cases, with an average age of 46 + -22 years old. Clinical diagnosis of hepatitis with cirrhosis 55 cases, 33 cases of hepatocellular carcinoma, 10 cases of chronic severe hepatitis subacute and acute severe hepatitis in 1 case. pathological diagnosis of 25 cases of hepatocellular carcinoma 20 cases (nodular, necrotic cirrhosis eight cases), 3 cases of severe acute hepatitis, chronic severe hepatitis cases. liver encephalopathy incentives upper gastrointestinal bleeding (48 cases), peritonitis (10 cases), diarrhea (5 cases), eating high-protein (23 cases), fatigue cases, paracentesis five cases, mental stimulation, five cases, the remaining cases of unexplained the coma stage Ⅰ 10 cases, Ⅱ of 118 cases times of III, 46 cases, Ⅳ 13 cases. coma l times the 48 cases, 27 cases, 22 cases, 3 cases , 5 and 8 each All patients underwent liver function and electrolyte checks. 1.2 take branched-chain amino acids 3H injection 250 mL, iv, 40 drops / min Aceglutamide 200 mg / d, iv, potassium glutamate, 20 mL of iv patients for treatment and analysis of the relevant data. 2 results in patients with hepatitis after liver cirrhosis (102 cases), and effective treatment of 70 cases, 68.6% efficiency, h