So standard treatments for cirrhosis are needed, like lactulose to prevent hepatic encephalopathy.

，针对肝硬化的标准治疗是必须的，比如使用乳果糖防止肝性脑病。

Ammonia and other toxins can pass through the blood brain barrier and cause hepatic encephalopathy.

氨和其他毒性产物以通过大脑屏障，导致肝性脑病。

Most commonly, this happens because of hepatic cirrhosis, which is when the liver tissue is replaced by fibrotic functionless tissue.

它大多数由肝硬化引起，即肝脏组织被无功能的纤维组织替代。

With TIPS, a tube is inserted via a catheter to allow communication between the portal vein and hepatic vein.

使用TIPS时，通过小导管插大导管，以实现门静脉和肝静脉之间的连通。

Diagnosis is done mainly by hepatic venous pressure gradient measurement.

诊断主要通过测量肝静脉压力梯度来完成。

Bile produced in the liver passes through the hepatic duct to the cystic duct and into the gallbladder.

肝脏中产生的胆汁通过肝管进胆囊管并进胆囊。

Over time as the liver becomes less functional, symptoms like jaundice, ascites, easy bruising, and hepatic encephalopathy develop.

长以往，肝脏功能逐渐下降，并出现相关症状，如黄疸、腹水、瘀斑和肝性脑病。

When this happens, venous blood accumulates in the hepatic portal system, causing pressure to rise above 12 mmHg, which defines portal hypertension.

当这种情况发生时，静脉会在肝门脉系统里蓄积，导致压力上升到12mHg以上，这就是门静脉高压症的定义。

And the primary outcome for the study was, did you see a reduction of this hepatic fat via the MRI?

研究的主要结果是，通过磁共振成像（MRI）是否观察到肝脂肪的减少？

All right, as a quick recap, portal hypertension is when the pressure in the hepatic portal system is greater than 12 mmHg.

得！快速回顾一下：门静脉高压症是指肝门系统压力大于12mmHg。

When your liver isn't detoxifying your blood, these toxins can get into the brain and start causing mental deficits, a condition known as hepatic encephalopathy.

没被降解的毒素跟随着以进大脑，从而引起被称为肝性脑病的精神障碍。

The gallbladder, a pear-shaped sac behind the lower portion of the liver, stores bile, which is continuously secreted by the hepatic cells between meals.

胆囊是肝脏下部后面的储存胆汁的梨形囊，胆汁在两餐之间由肝细胞不断分泌。

So at high dose, at low dose, there was no difference in how much hepatic fat you had at the end of the study.

，无论是高剂量还是低剂量，研究结束时肝脏脂肪的含量并无差异。

Father Nicanor, consumed by hepatic fever, was replaced by Father Coronel, whom they called " The Pup, " a veteran of the first federalist war.

尼卡诺尔神父肝热而病倒，取而代之的是科罗内尔神父，他们称他为“小狗”，他是第一次联邦主义战争的老兵。

And finally, with hepatic encephalopathy, there may be Asterixis, which means hand tremor when the wrist is extended; altered consciousness, lethargy, seizure, or coma.

最后，如果患有肝性脑病，能会出现扑翼样震颤，意味着患者伸出手腕时，手部出现鸟翼拍击样的屈伸动作，伴有意识不清、嗜睡、癫痫发作或昏迷。

To prevent bleeding from happening again, an interventional radiology technique called TIPS is the preferred procedure to decrease hepatic portal pressure and prevent further complications.

为了防止再次出，TIPS（经颈静脉肝内门体分流术）这种介放射学技术是首选，以降低肝门压力并预防进一步的并发症。

If you limited the analysis to people who had below 27% on this hepatic fat index, the people who got the full dose had no difference.

如果将分析限定在肝脂肪指数低于27%的人群中，那些接受全剂量治疗的人之间并无差异。

At this point many of the described symptoms start to develop, like jaundice and pruritus or itchy skin, ascites, hepatic encephalopathy leading to confusion, and easy bruising from low coagulation factors.

肝硬化的症状开始出现，如黄疸、皮肤瘙痒、腹水、导致神智不清的肝性脑病，以及凝子不足导致的瘀斑。

Second, blood backing up in the systemic veins leads to portal systemic shunts, which happens in the three points where the systemic venous system and hepatic portal system are connected.

其次，淤积在体静脉的造成门脉-体静脉系统分流，发生在三个部位，即体静脉系统与肝脏门脉系统相连接的地方。

The fibrotic tissue, pressure buildup, and diversion of blood from the hepatic circulation essentially reduces the number of functional sinusoidal veins, and the number of functional portal triads in general.

纤维组织形成、门静脉高压和肝循环分流，最终导致了用的窦静脉数量的减少，以及整体上用的门脉三联管数量减少。