Patients with hepatic encephalopathy should pay attention to nutritional support and use appropriate medication.
1. Nutritional support: Ensure the supply of calories, limit protein intake to 20g/L within a few days of acute onset, and increase it to 1g/(kg-d) after remission, pay attention to vitamin supplementation to avoid hypoglycemia.
2. Pharmacotherapy:
(1) Regulate neurotransmitters: use flumazenil, branched-chain amino acids and other drugs to regulate neurotransmitters.
(2) Promote ammonia metabolism: use aspartic acid and ornithine to promote ammonia metabolism in the body to lower blood ammonia and reduce cerebral edema.
(3) Identifying and removing triggers: oral lactulose or diluted enema can be given to prevent constipation; oral antibiotics such as rifaximin and metronidazole can be used to prevent and control infections.
When hepatic encephalopathy occurs, one should go to a regular hospital in time, and choose the appropriate treatment to improve the quality of life under the guidance of professional doctors.