失代偿期肝硬化患者意识障碍临床分析

A Retrospective Analysis of the Causes of Disorder of Consciousness in Patients with Decompensated Cirrhosis

目的回顾分析76例失代偿期肝硬化患者意识障碍的原因，从而指导早期确诊及正确治疗。方法选取自1995～2006年在我院住院的失代偿期肝硬化并意识障碍病人76例分析其病因。结果其中58例为肝性脑病，占76％；低血糖昏迷7例，占9％；并发酒精戒断综合症5例，占7％；低渗性脑病4例，占5％；急性脑梗死2例，占3％。结论对肝硬化患者出现意识障碍应根据病史体征进行全面的分析，综合判断。

Objective Retrospective analysis of the causes of disorder of consciousness in 76 hospitalized patients with decompensated cirrhosis in order to make a definite diagnosis at early-stage and execute the correct treatment. Method The causes of disorder of consciousness in 76 hospitalized patients with decompensated cirrhosis during the period of 1995 to 2006 to be analyzed. Results Of all the causes, 76%（58/76） were hepatic encephalopathy, 9%（7/76） were hypoglycemic coma, 5（7%） cases were complicated by alcohol withdrawal syndrome, 4（5%） cases were hypotonic cerebropathy, and acute cerebral infaration occupied 3%（2/76）. Conclusion The causes of disorder of consciousness in patients with decompensated cirrhosis should be thorou＆hly analyzed and make a comprehensive judgement according to patient histories and physical signs.