Rehabilitation points for hepatic coma patients and their families Hepatic coma is a critical condition in the decompensated stage of liver cirrhosis, which can also occur in acute liver failure and hepatocellular carcinoma, etc. In this article, hepatic coma mainly refers to hepatic coma caused by the decompensated stage of liver cirrhosis, which is also called hepatic encephalopathy. Hepatic encephalopathy is a kind of neuropsychiatric syndrome with different degrees of severity based on metabolic disorders due to acute or chronic severe liver dysfunction or various abnormalities of portal vein-corporeal circulation shunt. The main manifestations of hepatic encephalopathy are neurological dysfunction, mental-behavioral abnormalities, and in severe cases, impaired consciousness or even coma. In the past, hepatic encephalopathy was also known as hepatic coma, but the latter is only the more serious part of hepatic encephalopathy and does not represent the whole disease. The disease requires urgent and comprehensive treatment in hospitals, and this article focuses on the details and important things that patients with hepatic coma should pay attention to after treatment in hospitals in order to minimize the recurrence of the disease and improve the quality of life and survival time of the patients in the long run. Why do patients suffer from hepatic coma? Liver is similar to the chemical factory of human body, and patients with decompensated cirrhosis suffer from overloading of liver for many years, which leads to obvious decrease of liver’s working ability, especially for protein substances, so it is easy to induce hepatic encephalopathy when they eat more meat, eggs or even milk at this time. In addition, the overloaded liver is particularly strict on other requirements of the body, such as constipation, intestinal infections, lung infections, abdominal infections, gastrointestinal bleeding, etc. can induce hepatic encephalopathy, and even a lack of potassium and sodium may also induce hepatic encephalopathy. It can be seen that many factors can lead to hepatic encephalopathy, and chronic encephalopathy is also easy to recur, so you can’t do without this knowledge. Early manifestations of hepatic coma Early manifestations of hepatic coma may be dizziness, nausea, which is difficult to detect. Some patients may show that they cannot dress themselves, cannot find home or toilet, urinate and defecate anywhere, or have abnormal behavior, such as not being able to count, being irritable, boastful, or even attacking others, etc. Family members should pay attention to the abnormalities of the patient and send him/her to the hospital for treatment in a timely manner. Treatment of hepatic coma Doctors can improve the patient’s condition by giving medicines to promote liver metabolism and correcting the triggering factors, such as anti-infection, supplementing albumin, correcting electrolyte disorders and controlling gastrointestinal bleeding. Key points for hepatic coma patients to focus on Long-term application of drugs to promote liver metabolism, such as menthyl ornithine, long-term application of lactulose to keep bowel movement, about three times a day, appropriate application of diuretic drugs, to maintain their own urine output and body weight is relatively stable, and cooperate with the doctor to find out the appropriate recipes for their own, not only to be nutritious, but also to avoid triggering hepatic encephalopathy, part of hepatic nutrients can be appropriate to intake. The rest is to try to avoid common infections such as colds and eating unclean food. All in all, the purpose of all this is to minimize the recurrence of hepatic encephalopathy and to maintain liver function in order to truly improve the quality of life and survival time of patients.