石家庄慧福医院：肝昏倒的诱因、前兆和症状
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝性脑病（HE）又<span style="color: black;">叫作</span>肝性<span style="color: black;">晕倒</span>，<span style="color: black;">指的是</span>严重肝病<span style="color: black;">导致</span>的、以代谢<span style="color: black;">错乱</span>为<span style="color: black;">基本</span>的中枢神经系统功能失调的<span style="color: black;">综合症</span>，其<span style="color: black;">重点</span>临床表现是<span style="color: black;">认识</span><span style="color: black;">阻碍</span>、<span style="color: black;">行径</span>失常和<span style="color: black;">晕倒</span>。有急性与慢性脑病之分。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">导致</span>肝性脑病的原发病有重症病毒性肝炎、重症中毒性肝炎、<span style="color: black;">药品</span>性肝病、妊娠期急性脂肪肝、各型肝硬化、原发性肝癌以及其他弥漫性肝病的终末期，而以肝硬化<span style="color: black;">病人</span><span style="color: black;">出现</span>肝性脑病最多见，约占70%。诱发肝性脑病的<span style="color: black;">原因</span><span style="color: black;">非常多</span>，如上消化道<span style="color: black;">流血</span>、高蛋白<span style="color: black;">膳食</span>、<span style="color: black;">海量</span>排钾利尿、放腹水，<span style="color: black;">运用</span><span style="color: black;">助眠</span>、镇静、<span style="color: black;">麻木</span>药，便秘、尿毒症、感染或手术创伤等。这些<span style="color: black;">原因</span>大体都是<span style="color: black;">经过</span>：①使神经毒质产生<span style="color: black;">增加</span>或<span style="color: black;">加强</span>神经毒质的毒性效应。②<span style="color: black;">加强</span>脑组织对<span style="color: black;">各样</span>毒性物质的<span style="color: black;">敏锐</span>性。③<span style="color: black;">增多</span>血-脑脊液屏障的通透性而诱发脑病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q7.itc.cn/q_70/images04/20240424/683591aa19ca438db0d254d416b04d9b.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝<span style="color: black;">晕倒</span><span style="color: black;">初期</span><span style="color: black;">或</span>前兆<span style="color: black;">重点</span>有以下的表现：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、<span style="color: black;">睡觉</span>方面表现：病人可能会有<span style="color: black;">睡觉</span>颠倒，<span style="color: black;">亦</span><span style="color: black;">便是</span><span style="color: black;">白日</span>经常睡觉，而<span style="color: black;">夜晚</span>比较清醒。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、性格改变：<span style="color: black;">例如</span>原来外向型的性格<span style="color: black;">忽然</span>表现为抑郁，<span style="color: black;">或</span>是原来内向型不爱说话的性格<span style="color: black;">忽然</span>表现为兴奋。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、还有些<span style="color: black;">行径</span>的改变，<span style="color: black;">例如</span>乱吐痰、乱扔烟头、乱画画等，更早的一种肝性脑病表现，<span style="color: black;">亦</span>叫轻型肝性脑病，<span style="color: black;">常常</span><span style="color: black;">能够</span><span style="color: black;">经过</span>神经心理的<span style="color: black;">检测</span>能够<span style="color: black;">发掘</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝硬化的<span style="color: black;">病人</span><span style="color: black;">显现</span>肝<span style="color: black;">晕倒</span>，<span style="color: black;">重点</span>有以下的症状，<span style="color: black;">能够</span>表现为高级神经中枢的功能<span style="color: black;">错乱</span>，例如性格改变，智力下降，<span style="color: black;">行径</span>失常，<span style="color: black;">认识</span><span style="color: black;">阻碍</span>等等，以及运动和反射的<span style="color: black;">反常</span>。<span style="color: black;">能够</span><span style="color: black;">按照</span>临床过程分为4期：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第1期为前驱期，<span style="color: black;">包含</span>焦虑，激动，淡漠，<span style="color: black;">睡觉</span>倒错，健忘等等轻度精神<span style="color: black;">反常</span>，此时<span style="color: black;">能够</span>有扑翼样的震颤。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第2期为<span style="color: black;">晕倒</span>前期，有嗜睡，<span style="color: black;">行径</span><span style="color: black;">反常</span>，例如衣冠不整<span style="color: black;">或</span>随地<span style="color: black;">体积</span>便，语言不清，书写<span style="color: black;">阻碍</span><span style="color: black;">或</span>定向力<span style="color: black;">阻碍</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第3期为昏睡期，<span style="color: black;">然则</span><span style="color: black;">能够</span>唤醒，<span style="color: black;">各样</span>神经体征<span style="color: black;">连续</span><span style="color: black;">或</span>加重，有扑翼样的震颤，肌张力<span style="color: black;">升高</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第4期为<span style="color: black;">晕倒</span>期，<span style="color: black;">晕倒</span>并且<span style="color: black;">不可</span>唤醒。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：http://www.fok120.com/</span>，查看<span style="color: black;">更加多</span></span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">......</span></p>
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