目的分析失代偿期肝炎肝硬化患者出现肝性脑病合并肝性皮质盲的临床特点。方法回顾性分析我院近10年来11例失代偿期肝炎肝硬化患者在肝性脑病基础上并发肝性皮质盲的发病率、临床表现、治疗及转归。结果11例肝性脑病患者肝性皮质盲发病率为3.1%,平均年龄38.8岁,随访2年,6例在2年内死亡,其余5例患者均随其肝性脑病治愈后视力恢复,无后遗症。结论肝性皮质盲男性较女性多见,中青年患者发病比例较高,该病本身在大多数情况下是可逆的,不留后遗症,其预后取决于原发病。 Objective To analyze the clinical features of hepatic encephalopathy complicated with hepatic cortex blindness in patients with decompensated liver cirrhosis. Methods The incidence, clinical manifestation, treatment and outcome of hepatic cortex blindness in 11 cases of decompensated hepatitis cirrhosis in our hospital in recent 10 years were retrospectively analyzed. Results The incidence of hepatic cortical blindness in 11 patients with hepatic encephalopathy was 3.1% with a mean age of 38.8 years. The patients were followed up for 2 years and 6 died within 2 years. The remaining 5 patients were recovered with hepatic encephalopathy after visual acuity recovery without sequelae . Conclusions Hepatic cortex is more common in women than in women. The incidence of middle-aged and young patients is higher. The disease itself is reversible in most cases without sequelae. The prognosis depends on the primary disease.