1例肝性脑病营养支持实施的病例报道
Chinese Journal of General Practice（2021）
Abstract
肝性脑病(hepatic encephalopathy,HE)是指因急性或慢性肝功能严重障碍或门静脉-体循环分流异常导致的、以代谢紊乱为基础的、轻重程度不同的神经精神异常综合征[1]. 90％以上的肝性脑病可归因于各类原因引起的急性肝功能衰竭及肝硬化.除非肝脏疾病得以成功治疗,否则HE一旦发生,生存率低,且复发率高.慢性肝病发生肝性脑病的患者,预后不良,1年及3年生存率分别低于50％及25％2].通过去除诱因、给予适当的营养支持、应用乳果糖、肠道非吸收抗生素、门冬氨酸-鸟氨酸、微生态制剂等药物及非生物型人工肝等辅助治疗,可明显改善HE症状,促进神经系统及肝脏修复,降低病死率[1].
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