Hepatic Encephalopathy

被引:61
|
作者
Khungar, Vandana [1 ,2 ]
Poordad, Fred [1 ,3 ]
机构
[1] Cedars Sinai Med Ctr, Dept Med, Los Angeles, CA 90048 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Los Angeles, CA 90095 USA
[3] Cedars Sinai Med Ctr, Dept Surgey, Los Angeles, CA 90048 USA
关键词
Hepatic encephalopathy; Minimal hepatic encephalopathy; Overt hepatic encephalopathy; Treatment; INTRAHEPATIC PORTOSYSTEMIC SHUNT; ORNITHINE-L-ASPARTATE; PORTAL-SYSTEMIC ENCEPHALOPATHY; RANDOMIZED CONTROLLED-TRIAL; ORAL ZINC SUPPLEMENTATION; QUALITY-OF-LIFE; DOUBLE-BLIND; RIFAXIMIN TREATMENT; LIVER-CIRRHOSIS; NEUROPSYCHOLOGICAL CHARACTERIZATION;
D O I
10.1016/j.cld.2012.03.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hepatic encephalopathy (HE) represents a continuum of transient and reversible neurologic and psychiatric dysfunction. It is a reversible state of impaired cognitive function or altered consciousness in patients with liver disease or portosystemic shunting. Over the last several years, high-quality studies have been conducted on various pharmacologic therapies for HE; as more data emerge, it is hoped that HE will become a more easily treated complication of decompensated liver disease. In the interim, it is important that physicians continue to screen for minimal HE and treat patients early in addition to continuing to provide current treatments of overt HE.
引用
收藏
页码:301 / +
页数:21
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