Centre for Psychiatric Research, Aarhus University Hospital Risskov, Risskov 8240, Denmark.
Metab Brain Dis. 2013 Jun;28(2):235-8. doi: 10.1007/s11011-012-9340-8. Epub 2012 Nov 6.
Hepatic encephalopathy (HE) is characterized by a wide variety of neuropsychiatric symptoms, and from a psychiatric perspective its nosological status calls for clarification. According to the ICD-10 classification, it can be classified as delirium due to overt HE's core symptom of clouding of consciousness in increasing degrees. Minimal/covert HE with impairment of neurocognitive function is more difficult to classify and could correspond to Mild Cognitive Impairment or mild degrees of dementia. However, the advantages of current psychiatric nosology is the possibility of thorough characterization of both dispositional and premorbid psychopathology as well as psychiatric morbidity induced by liverdiseases or even treatment. A future closer collaboration between hepatologists and psychiatrists is advocated.
肝性脑病（HE）的特征是各种神经精神症状，从精神病学的角度来看，其分类地位需要澄清。根据 ICD-10 分类，它可以归类为由于明显的肝性脑病核心症状意识障碍程度逐渐增加而导致的谵妄。伴有神经认知功能障碍的轻微/隐匿性肝性脑病更难以分类，可能对应于轻度认知障碍或轻度痴呆。然而，当前精神病学分类的优点是有可能彻底描述特质和病前精神病理学以及由肝脏疾病甚至治疗引起的精神病理学。提倡未来肝病学家和精神科医生之间更密切的合作。
