肝昏迷是以意识改变以至昏迷为主要表现的中枢神经系统功能紊乱的综合征。迄今为止,肝昏迷的病死率仍然很高。对部分患者,如能早期诊断、早期治疗、仍有争取清醒和恢复的可能,故须注意严密观察病情,积极抢救,特别应争取在进入昏迷前即行极积治疗,以防病情发展。现以急性重型肝炎引起肝昏迷为例,试述有关抢救的几个原则问题。 Hepatic coma is a syndrome of central nervous system dysfunction predominated by altered consciousness and coma. So far, the mortality rate of hepatic coma is still high. For some patients, if early diagnosis and early treatment still have the potential for awake and recovery, attention should be paid to the close observation of the disease and active rescue. In particular, patients should be treated before going into a coma to prevent the progression of the disease. Acute severe hepatitis is now caused by hepatic coma, for example, to discuss the rescue of several principles.