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1991年7月至1997年2月,我院共收治肝硬化患者164例,其中20例并发肝性脊髓病,现报告如下.临床资料:本组患者均为肝炎后肝硬化(失代偿期),男12例,女8例,年龄24～78岁,平均45.7岁,病程3～21年,平均14.2年.临床表现有:单侧或双侧肢体肌力下降,不能行走,均伴有嗜睡、淡膜等肝性脑病的前期表现,全部病例均经头颅CT、脑脊液检查排除脑血管疾病,经抗肝昏迷、保肝等治疗,随着意识好转,黄疸减轻,肌体肌力逐渐恢复正常,不留任何后遗症,但症状可反复出现
July 1991 to February 1997, our hospital were treated 164 cases of cirrhosis patients, of which 20 cases complicated by hepatic myelopathy, are reported as follows.Clinical data: This group of patients with posthepatitis cirrhosis (decompensated ), 12 males and 8 females, aged 24 to 78 years, mean 45.7 years, duration of 3 to 21 years, an average of 14.2 years.The clinical manifestations are: unilateral or bilateral limb strength decreased, can not walk, are accompanied by Drowsiness, light film and other early hepatic encephalopathy performance, all cases were skull CT, cerebrospinal fluid examination to rule out cerebrovascular disease, anti-hepatic coma, liver and other treatment, with awareness improved, jaundice, body muscle gradually returned to normal , Do not leave any sequela, but the symptom can appear repeatedly