摘要
目的 :分析肝硬化并肝性脑病的诱因及预后。方法 :对 94例肝硬化并肝性脑病患者的临床资料回顾性分析。结果 :肝性脑病的诱因依此为上消化道出血 3 8例 (4 0 .4% ) ,医源性因素 (包括利尿、放腹水、手术、药物 ) 2 8例 (2 9.8% ) ,高蛋白饮食 11例 (11.7% ) ,感染 9例 (9.6% ) ,原因不明 6例 (6.4% ) ,便秘 2例 (2 .1% )。各种诱因诱发的肝性脑病病死率 :消化道出血 2 1例 (4 8.8% ) ,医源性因素 14例 (3 2 .6% ) ,感染 3例 (7.0 % ) ,原因不明 5例 (11.6% )。结论 :肝性脑病的预后与诱因是否消除及肝功能状态有关 ,而消除诱因是治疗肝性脑病的关键。
Objective:To analyse the precipitating factors and prgnosis for cirrhosis and hepatic encephalopathy.Methods:The clinical data of 94 patients with cirrhosis and hepatic encephalopathy in this hospital were reviewed.Results:The precipitating factors of hepatic encephalopathy in turn were upper gastrointestinal haemorrhage in 38 patients (40.4%), iatrogenic factors(including operation, diuretic therapy, parcentesis, transfusion and drugs) in 28 patients (29.8%), infection in 9 patients(9.6%), high protein diet in 11 patients(11.7%), unknown reasons in 6 patients(6.4%),constipation in 2 patients (2.1%). The death rate of hepatic encephalopathy caused by various precipitating factors:upper gastrointestinal haemorrhage in 21 patients(48.8%), iatrogenic factors in 14 patients (32.6%), infection in 3 patients(7.0%),unknown reasons in 5 patients(11.6%).Conclusion:The prognosis of hepatic encephalopathy has relation with the eliminating of the precipitating factors and liver function status. Eliminating the precipitating factors is the key to hepatic encephalopathy treatment.
出处
《航空航天医药》
2004年第4期210-211,共2页
Aerospace Medicine
关键词
肝性脑病
诱因
预后
hepatic encephalopathy
precipitating factors
prognosis
