Monday, March 17, 2008

Symptoms of hepatic encephalopathy

(1) performance encephalopathy: hepatic encephalopathy mainly as disturbance of consciousness, intellectual impairment, neuromuscular dysfunction. According to symptoms and signs can be divided into four levels. Nervous system showed signs of increased muscle tension, the tendon hyperreflexia, there will be the ankle clonus, Puji-like tremor. Some patients haunted face, Caecus, such as primary, there will be sucking reflex. With disease progression, there will be the pyramidal signs. Paroxysmal have serious convulsions. Advanced nerve reflexes disappear body was flaccid state. Hepatic encephalopathy onset, duration, the performance by etiology, pathology and incentives vary different basis. Fulminant hepatitis patients in the next few days to enter a coma and may After Ⅰ, Ⅱ and poor prognosis. Advanced cirrhosis with severe gastrointestinal bleeding or infection, the disease is also rapidly developing. The door - the door cavity anastomosis or extensively Bence Circulation, can be manifested as chronic recurrent paroxysmal Mujiang. (2) performance of liver disease: mainly as liver dysfunction, exhaustion, with portal hypertension. The former regular performance jaundice, liver smelly, bleeding tendency. Portal hypertension performance for the door - Bence Circulation formation of ascites, spleen, hypersplenism. Some patients in the door - the history of the anastomosis. (C) Other: including various liver diseases and complications performance.

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