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Metabolic Encephalopathy After Surgery Hepatobiliary and Pancreatic Diseases

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机构: [1]Medical School, Kunming University of Science and Technology, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650500, Yunnan, China [2]Department of Liver and Gallbladder Surgery, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650500, Yunnan, China
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关键词: Hepatobiliary and Pancreatic Diseases Surgery Metabolic Encephalopathy Wernicker's Encephalopathy Hepatic Encephalopathy

摘要:
Metabolic Encephalopathy (ME) is a group of diseases with central nervous system dysfunction caused by a variety of etiologies. According to the etiology, it can be divided into Wernicker's encephalopathy (WE) caused by thiamine deficiency, hepatic encephalopathy (HE) caused by liver dysfunction and eventual ammonia poisoning in patients with cirrhosis, hyponatremic encephalopathy caused by plasma hypotonic due to low serum sodium, uremic encephalopathy (UE) caused by toxin accumulation after renal dysfunction, and dysglycemic encephalopathy caused by excessive blood glucose fluctuation. The pathophysiological mechanism of ME is not the same, but for the clinical symptoms, it all show different degrees of neuro-mental symptoms. The mild manifestations are indifference, irritability, time-space sensory disorders, thinking retardation, mental decline etc., and the serious manifestations are delirium, lethargy, coma. In patients with existing metabolic encephalopathy, treating the disease is not an easy task for every clinician, but prevention of metabolic encephalopathy may be much simpler and the return greater than treatment.

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第一作者机构: [1]Medical School, Kunming University of Science and Technology, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650500, Yunnan, China
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通讯机构: [2]Department of Liver and Gallbladder Surgery, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650500, Yunnan, China
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