失代偿性肝硬化合并肾损伤的最新分型与HRS的诊治进展

Recent Classification of Decompensated Cir-rhosis with Renal Injury and Progress in Di-agnosis and Treatment of HRS

由于失代偿性肝硬化患者特殊的病理生理状况,他们更容易出现肾脏损伤,从而影响其生活质量。类型包括急性肾损伤、急性肾脏病、慢性肾脏病,还包含了一种特殊的急性肾损伤,即肝肾综合征,以肝肾综合征的死亡率最高。近年来,完善并更新了失代偿性肝硬化患者合并肾损伤的相关诊断标准和治疗指南,本文重点阐述了失代偿性肝硬化合并肾损伤的最新临床分型、诊断标准以及肝肾综合征的发病机理、治疗方法,为失代偿肝硬化合并肾损伤的诊断及防治给予理论依据。

Due to the specific pathophysiological condition of patients with decompensated cirrhosis, they are more likely to develop kidney injury, which affects their quality of life. Types include acute kidney injury, acute kidney disease, chronic kidney disease, and also include a specific type of acute kidney injury, namely hepatorenal syndrome, with hepatorenal syndrome having the highest mortality rate. In recent years, relevant diagnostic criteria and treatment guidelines for patients with de-compensated cirrhosis combined with kidney injury have been improved and updated. This article focuses on the latest clinical typology and diagnostic criteria of decompensated cirrhosis combined with kidney injury, as well as the pathogenesis and treatment of hepatorenal syndrome, giving a theoretical basis for the diagnosis and prevention of decompensated cirrhosis combined with kid-ney injury.