【正文】
ty liver of pregnancy period 70% caused by cirrhosis,第五頁(yè),共二十頁(yè)。,Precipitating factors of HE,1) Gastrointestinal Bleeding 2) Abuse of sedatives and narcotic 3) Massive paracentesis and excessive diuresis 4) Infections,Hypovolemia, shock, hypoxia,Protein breakdown,Ammonia production,benzodiazepines and barbiturates,Fluid or electrolyte abnormalities and acid base disturbance,tissue breakdown,第六頁(yè),共二十頁(yè)。,Several main hypotheses,Ammonia Intoxication False Neurotransmitters Amino Acid imbalance The GammaAmino butyric Acid hypothesis,第七頁(yè),共二十頁(yè)。,Symptoms,(pr