关键词: Diagnosis Hepatic encephalopathy Liver cirrhosis Therapy

Mesh : China Consensus End Stage Liver Disease / complications therapy Gastroenterology / methods standards Hepatic Encephalopathy / diagnosis etiology therapy Humans Liver Cirrhosis / complications therapy Prognosis Secondary Prevention / methods standards Societies, Medical / standards Time Factors

来  源:   DOI:10.3748/wjg.v25.i36.5403   PDF(Pubmed)

Abstract:
The Chinese Society of Hepatology developed the current guidelines on the management of hepatic encephalopathy in cirrhosis based on the published evidence and the panelists\' consensus. The guidelines provided recommendations for the diagnosis and management of hepatic encephalopathy (HE) including minimal hepatic encephalopathy (MHE) and overt hepatic encephalopathy, emphasizing the importance on screening MHE in patients with end-stage liver diseases. The guidelines emphasized that early identification and timely treatment are the key to improve the prognosis of HE. The principles of treatment include prompt removal of the cause, recovery of acute neuropsychiatric abnormalities to baseline status, primary prevention, and secondary prevention as soon as possible.
摘要:
中国肝病学会根据已发表的证据和小组成员的共识,制定了当前的肝硬化肝性脑病治疗指南。该指南为肝性脑病(HE)的诊断和管理提供了建议,包括轻度肝性脑病(MHE)和明显的肝性脑病。强调在终末期肝病患者中筛查MHE的重要性。指南强调早期识别和及时治疗是改善HE预后的关键。治疗原则包括迅速消除病因,急性神经精神异常恢复至基线状态,一级预防,并尽快进行二级预防。
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