肝昏迷是严重肝脏疾患的合并症之一,在儿童常见于暴发型病毒性肝炎,亦可见于亚急性肝坏死、肝硬变及中毒性肝炎等其他肝脏疾患。本病病情凶险,病死率很高,从1976年我们采用口服左旋多巴佐以潘生丁治疗儿童肝昏迷获得较好效果。诊断标准及昏迷分级 Hepatic coma is one of the complications of severe liver disease, common in children with fulminant viral hepatitis, can also be found in other liver diseases such as subacute hepatic necrosis, cirrhosis and toxic hepatitis. The disease is extremely dangerous and the case fatality rate is very high. From 1976, we used oral levodopa and dipyridamole to treat hepatic coma in children and achieved good results. Diagnostic criteria and coma classification