心肾综合征合并心源性肝硬化伴阴囊水肿一例

A case report of cardiorenal syndrome accompany with cardiogenic cirrhosis and scrotal edema

心肾综合征(cardiorenal syndrome,CRS)是心力衰竭和肾脏疾病之间相互作用后导致的恶性循环,预后极差。本文回顾1例有风湿性心脏病瓣膜置换及修补术史,入院诊断为CRS合并心源性肝硬化及阴囊重度水肿的患者,予以多次血液净化治疗后出院,随访至出院后3个月患者死亡。提示对于丧失手术机会的CRS合并心源性肝硬化患者,血液净化治疗短期效果尚可,长期预后仍需更多的病例观察。

Cardiorenal syndrome(CRS)is a vicious circle caused by the interaction between heart failure and kidney disease having a poor prognosis.We have reviewed a case of a patient with rheumatic heart disease valve replacement and repair surgery,diagnosed on admission as having CRS,combined with cardiogenic liver cirrhosis and severe scrotal edema.He was discharged after repeated blood purification treatments.The patient died within the three months following after discharge.It is suggested that for patients with CRS and cardiogenic liver cirrhosis for whom surgery is no longer an option,the short-term effect of blood purification treatment is acceptable,however the long-term prognosis still needs more case observation.