一、概述肝性脑病(肝昏迷)是因肝脏功能严重损害或大量肝细胞急性坏死所伴发的中枢神经系统机能障碍的临床表现。早期有性格改变(欣快、沉默、烦躁或淡漠);进一步发展可发生精神错乱、行动异常、定向障碍,两手有朴翼样震颤;严重时可发展为嗜睡、昏迷及各种反射消失。 I. Overview Hepatic encephalopathy (hepatic coma) is a clinical manifestation of central nervous system dysfunction associated with severe hepatic dysfunction or massive hepatocellular acute necrosis. Early changes in personality (euphoria, silence, irritability or indifference); further development may occur confusion, abnormal mobility, disorientation, both hands have Park-like tremor; severe may develop into lethargy, coma and a variety of reflections disappear.