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肝性脑病误诊1例报道及文献复习

Clinical Research and Practice(2020)

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Abstract
探讨肝性脑病(HE)的临床特征及误诊原因.对我科收治的1例HE误诊病例资料进行回顾性分析.本例患者主因乏力伴纳差1年,加重2个月,意识不清约2h就诊,经过详细询问病史,完善有特征性意义的辅助检查而确诊,因患者病情重、家庭经济条件差,家属放弃治疗.凡以性格改变或行为失常、睡眠障碍等为突出表现的肝病患者,应警惕HE的可能.加强认识、提高诊治水平是尽早确诊、改善预后的关键.
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