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20 hepatic enchephalopathy
1.
HEPATIC ENCEPHALOPATHY GAO
XIANG Department of Gastroenterology The First Affiliated Hospital
2.
3.
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Hepatic encephalopathy- A
complication of cirrhosis of the liver 0 20 40 60 80 100 120 140 160 0 20 40 60 80 100 Probability of complications (%) Gines et al. Hepatology (1987) 7, 1:122-128 Months
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CLINICAL MANIFESTATION
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DIAGNOSIS AND
DIFFERENTIAL DIAGNOSIS
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TREATMENT
25.
26.
27.
Modify colonic flora,
resulting in displacement of urease-containing bacteria with lactobacillus Cathartic effect Lower the colonic pH, resulting in the formation of nonabsorbable NH 4 from NH 3 in the colon
28.
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