轻微型肝性脑病诊断研究进展

doi:10.3969/j.issn.1672-5069.2014.03.033

摘要/Abstract

摘要： 轻微型肝性脑病常并发于肝硬化及各种门体分流术患者。由于缺乏典型的临床表现及生化异常,只能通过心理智能测试及神经电生理等检查发现,其发病率已升至30%~84%。轻微型肝性脑病可对患者的日常生活造成影响,无干预的轻微型肝性脑病易发展为显性肝性脑病。该病尚无公认的诊断“金标准”。本文介绍了国内外对轻微型肝性脑病的诊断方法。

关键词: 肝性脑病, 轻微型, 诊断, 心理智能, 神经电生理

Abstract: Minimal hepatic encephalopathy (MHE) is a common complication of decompensated liver cirrhosis or in patients with various portal-systemic shunt. Due to lack of typical clinical features and biochemical abnormally, MHE can only be diagnosed through psychometric or neurophysiological tests. And its incidence has increased to 30% to 84%. MHE affects daily life of patients, and it may make progress to overt hepatic encephalopathy without intervention. So far, there is no well established method to define its diagnosis as golden standard. This review mainly introduces the diagnostic methods applied at home and abroad.

Key words: Minimal hepatic encephalopathy, Diagnosis, Psychometric tests, Neurophysiological tests

何润莲综述, 杨晋辉审校. 轻微型肝性脑病诊断研究进展[J]. 实用肝脏病杂志, 2014, 17(3): 325-329.

He Runlian, Yang Jinhui. Diagnosis of minimal hepatic encephalopathy[J]. JOURNAL OF PRACTICAL HEPATOLOGY, 2014, 17(3): 325-329.

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