St Vincent's University Hospital, Dublin, Ireland.
QJM. 2010 Jan;103(1):9-16. doi: 10.1093/qjmed/hcp152. Epub 2009 Nov 10.
Hepatic encephalopathy (HE) is defined as a metabolically induced, potentially reversible, functional disturbance of the brain that may occur in acute or chronic liver disease. Standardized nomenclature has been proposed but a standardized approach to the treatment, particularly of persistent, episodic and recurrent encephalopathy associated with liver cirrhosis has not been proposed. This review focuses on the pathogenesis and treatment of HE in patients with cirrhosis. The pathogenesis and treatment of hepatic encephalopathy in fulminant hepatic failure is quite different and is reviewed elsewhere.
肝性脑病（HE）定义为急性或慢性肝脏疾病中可能发生的代谢性诱导的、潜在可逆转的脑功能障碍。已经提出了标准化命名法，但尚未提出针对治疗的标准化方法，特别是与肝硬化相关的持续性、间歇性和复发性脑病的治疗方法。本综述重点关注肝硬化患者肝性脑病的发病机制和治疗。暴发性肝衰竭患者肝性脑病的发病机制和治疗完全不同，详见其他地方的综述。
