The principle of the best treatment program for hepatic encephalopathy is to treat the primary disease, remove the causative factors, maintain the function of the liver, promote the metabolism and discharge of ammonia and neurotransmitter regulation.
1. First of all, electrolyte disorder and acid-base balance disorder should be corrected, nutritional supportive therapy should be emphasized, and the dosage of diuretics should not be too large; upper gastrointestinal hemorrhage should be stopped in time to remove the intestinal blood, and lactulose should be used, etc. Hepatic encephalopathy caused by infection should be treated with cephalosporin antibiotics with broad-spectrum, sufficient dosage, and less toxicity to liver and kidney in a timely manner; keep the stools unobstructed and limit the protein diet to be alert to hypoglycemia.
2. Arginine, acetylglutamine and potassium magnesium mentholatum can be used to promote ammonia metabolism in the body.
3. Use flumazenil to antagonize endogenous benzodiazepine-induced inhibition, and actively treat underlying diseases.
Hepatic encephalopathy should be timely consultation, under the guidance of the doctor for treatment, daily attention to eat more vitamin-rich fruits and vegetables, pay attention to nutrition.