肝肾综合征发生的危险因素及防治

Prevention of risk factors and treatment of hepatorenal syndrome

肝肾综合征是各种原因引起的终末期肝病的常见严重并发症,缺乏有效的治疗措施,病死率高。该文对其临床分型、诊断、预防和治疗进行了介绍,以帮助临床医生对肝肾综合征进行有效的预防和正确的治疗。

Hepatorenal syndrome （HRS） is a well-recognized complication of end-stage liver disease which carriers a poor prognosis and high mortality rate without transplantation. The pathophysiological mechanisms of HRS are characterized by significant hemodynamic changes. These changes consist of systemic arterial vasodilatation and effective arterial underfilling. The purpose of the present paper is to provide a review of the pathophysiology, risk factors, preventions, and therapies on HRS.