【正文】
ock, hypoxia,Protein breakdown,Ammonia production,benzodiazepines and barbiturates,Fluid or electrolyte abnormalities and acid base disturbance,tissue breakdown,第六頁,共二十頁。,Symptoms,(prodromal stage) Slightly altered mood or behaviors (precoma stage) Somnipathy and inappropriate behaviors (lethargic stage) Drowsy and psychopath (coma stage )Deep coma,central nervous system,Four stages of hepatic encephalopathy,第八頁,共二十頁。,Flapping tremor,Patient B. Doctor and patient,第十頁,共二十頁。,Examinations,1)Blood ammonia chronic( ) acute ( ) 2)EEG sl