论文部分内容阅读
作者首先指出慢性肝病中的脑病系由门一体循环分流所致,且大多系肝外性门-体循环分流,虽也可有肝内性门-体循环分流参予,但不是主要的,迄今文献中从未报道由单纯的肝内性门-体循环分流引起的慢性肝性脑病。本文作者报告1例证据确实的单纯肝内性门-体循环分流性脑病。病人系男性,64岁,无嗜酒史,曾先后发生2次肝性脑病,但均未经特殊治疗而自行缓解。病人神经系统检查阴性,脑电图呈弥漫性脑病波型.脑扫描及断层检查结果均正常,静脉血氨95μg%。
The authors first point out that the encephalopathy in chronic liver disease is caused by the circulation of the portal intestine, and most of them are extrahepatic portal-to-systemic circulation, although intrahepatic portosystemic shunt may be involved, but not major, so far in the literature Chronic hepatic encephalopathy has never been reported due to a simple intrahepatic portosystemic shunt. The authors report a case of evidence of a simple liver endometriosis - systemic circulation shunt encephalopathy. Male patients, 64 years old, no history of alcoholism, there have been two hepatic encephalopathy, but without any special treatment and ease themselves. Patients with negative neurological examination, EEG showed diffuse encephalopathy waveform. Brain scan and the results of the tomography were normal, venous blood ammonia 95μg%.