摘要
Acute kidney injury(AKI) is a common complication in patients with end-stage liver disease and advanced cirrhosis regardless of the underlying cause. Hepatorenal syndrome(HRS), a functional form of kidney failure, is one of the many possible causes of AKI. HRS is potentially reversible but involves highly complex pathogenetic mechanisms and equally complex clinical and therapeutic management. Once HRS has developed, it has a very poor prognosis. This review focuses on the diagnostic approach to HRS and discusses the therapeutic protocols currently adopted in clinical practice.
Acute kidney injury （AKI） is a common complication in patients with end-stage liver disease and advanced cirrhosis regardless of the underlying cause. Hepa-torenal syndrome （HRS）, a functional form of kidney failure, is one of the many possible causes of AKI. HRS is potentially reversible but involves highly complex pathogenetic mechanisms and equally complex clinical and therapeutic management. Once HRS has developed, it has a very poor prognosis. This review focuses on the diagnostic approach to HRS and discusses the thera-peutic protocols currently adopted in clinical practice.
关键词
急性肾损伤
肝病
治疗方法
临床分析
Hepatorenal syndrome
Cirrhosis
Acute kidney injury
Diagnosis
Treatment
Terlipressin
Liver support system
