肝肾综合征的中西医结合诊治

Integrated traditional Chinese and Western medicine diagnosis and treatment of hepatorenal syndrome

肝肾综合征(HRS)是终末期肝病常见的并发症,是在严重肝病基础上发生的功能性急性肾衰竭,是以肾功能不全、内源性血管活性物质异常和动脉循环血流动力学改变为特征的一组临床综合征。HRS较为理想的治疗是肝移植或同时肾移植,优化药物与非药物治疗方法是治疗HRS的关键。本文对目前中西医诊断和治疗HRS的现状予以回顾总结。

As a common complication of end-stage liver disease,hepatorenal syndrome(HRS)is functional acute renal failure that occurs on the basis of severe liver diseases and is a group of clinical syndromes characterized by renal insufficiency,abnormal endogenous vascular substances,and hemodynamic changes of arterial circulation.The ideal treatment method for HRS is liver transplantation or simultaneous kidney transplantation,and optimization of drug and non-drug therapies is the key to the treatment of HRS.This article reviews the current status of the integrated traditional Chinese and Western medicine diagnosis and treatment of HRS.