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肝性脑病的预后。

Prognosis of Hepatic Encephalopathy.

机构信息

Division of Transplantation and Hepatobiliary Diseases, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.

Division of Transplantation and Hepatobiliary Diseases, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA; Tufts Medical School, 145 Harrison Avenue, Boston, MA 02111, USA.

出版信息

Clin Liver Dis. 2020 May;24(2):219-229. doi: 10.1016/j.cld.2020.01.004. Epub 2020 Mar 2.

Abstract

The presence of hepatic encephalopathy is often associated with worse clinical outcomes and increased mortality. Even subclinical hepatic encephalopathy has clinical impacts on daily life and has been linked to increased falls, motor vehicle accidents, and hospitalizations. The presence and degree of hepatic encephalopathy can also affect survival outcomes in cirrhosis, acute liver failure, and liver transplant recipients. Patients may have improved clinical outcomes after treatment of hepatic encephalopathy, but the long-term impact of treatment on prognosis is unclear.

摘要

肝性脑病的存在通常与更差的临床结局和更高的死亡率相关。即使是亚临床肝性脑病也会对日常生活产生临床影响,并与跌倒、机动车事故和住院次数增加相关。肝性脑病的存在和严重程度也会影响肝硬化、急性肝衰竭和肝移植受者的生存结局。患者在治疗肝性脑病后可能会有更好的临床结局,但治疗对预后的长期影响尚不清楚。

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