【摘要】 目的　分析肝性脑病的诱因，探讨其诱因与预后的关系。方法　对本院收治的１４６ 例肝性脑病患者的临床资料进行回顾性分析。结果　肝性脑病的诱因依次为医源性因素（ 包括手术、利尿、放腹水、输血、药物）７６ 例（５０ ％ ） ，上消化道出血６７ 例（４５－９ ％ ） ，感染６２ 例（４２－５ ％ ） ，电解质紊乱５２ 例（３５－６ ％ ） ，肾功能不全３３ 例（２２－６ ％ ） ，腹泻６ 例（４－８ ％ ） ，饮食不节６ 例（４－８ ％ ） 。诱因的多少、严重程度与肝性脑病的发生发展及预后密切相关。结论　积极去除诱因是治疗肝性脑病的关键更多还原

【Abstract】 AIMS The purpose of this investigation is to analyse the precipitating factors of hepatic encephalopathy and investigates the relation between its precipitating factors and prognosis.Methods The clinical data of 146 patients with hepatic encephalopathy in this hospital were reviewed.Results The precipitating factors of hepatic encephalopathy in turn were iatrogenic factors(including operation,diuretic therapy,paracentesis,transfusion and drugs) in 76 patients(50%),upper gastrointestinal haemorrhage in 67 patients(45.9%) ,infection in 62 patients (42 5%),electrolyte abnormalities in 52 patients (35.6%),renal failure in 33 patients (22.6%),diarrhea in 6 patients (4.8%),irregular diet in 6 patients (4.8%).The numbers and severe degree of precipitating factors have close relationship with the occurrence,progression and prognosis of hepatic encephalopathy.Conclusions Eliminating the precipitating factors is the key to hepatic encephalopathy treatment.更多还原