天津医药

天津医药 ›› 2018, Vol. 46 ›› Issue (7): 758-760.doi: 10.11958/20171523

• 诊断技术 • 上一篇    下一篇

慢性硬膜下血肿合并肝性脑病一例

魏盈胜，贾颖，安硕，田野，孙健，江荣才△   

  1. 天津医科大学总医院神经外科（邮编300070）
  • 收稿日期:2017-12-28 修回日期:2018-04-14 出版日期:2018-07-15 发布日期:2018-07-15
  • 通讯作者: 江荣才 E-mail:jiang116216@163.com
  • 作者简介:魏盈胜（1984），男，硕士，主治医师，主要从事神经外科重症监护的临床研究
  • 基金资助:
    国家自然科学基金;国家自然科学基金;天津市科技计划项目

Chronic subdural hematoma complicated with hepatic encephalopathy: a case report

WEI Ying-sheng, JIA Ying, AN Shuo, TIAN Ye, SUN Jian, JIANG Rong-cai △   

  1. Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300070, China △Corresponding Author E-mail:jiang116216@163.com
  • Received:2017-12-28 Revised:2018-04-14 Published:2018-07-15 Online:2018-07-15

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摘要： 本文报道1例慢性硬膜下血肿患者，术后出现性格改变、行为异常等精神症状，结合既往病史、实验室检 查、头部CT/MRI、脑电图表现诊断为肝性脑病和继发性癫痫，经相应治疗后症状均消失。

关键词: 血肿, 硬膜下, 慢性, 肝性脑病, 癫痫

Abstract: This article report a case of patient with chronic subdural hematoma. After receiving a surgery, the patient presented mental symptoms such as abnormal behaviors and personality changes. The patient was diagnosed as hepatic encephalopathy and secondary epilepsy according to his medical history, laboratory tests, head CT / MRI and electroencephalogram. The secondary epilepsy was diagnosed by convulsion. After receiving corresponding therapy, these symptom disappeared.

Key words: hematoma, subdural, chronic, hepatic encephalopathy, epilepsy