内科学教学课件625 肝性脑病.pptVIP

Grade Consciousness Intellectual function Behavior/ personality Neuromuscular signs 0 Normal Normal Normal Normal I Lack of awareness/ Sleep disorder Shortened attention span Euphoria, anxiety Impaired handwriting, tremor II Drowsiness Disorientation for time or place Inappropriate behavior Asterixis, ataxia, hyporeflexia III Somnolence Gross disorientation Massive personality change Hyperreflexia, rigidity, Babinski sign IV Coma No response Table 4-2. Grading of hepatic encephalopathy Clinical Grading 实验室检查 血氨水平上升 血液氨基酸组分分析 特殊检查 脑电图 诱发电位 心理测验 脑电图 High-amplitude low-frequency waves（高幅低频