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肝肾综合征(Hepatorenal syndrome,HRS)系指由于各种肝病所引起的肾功能衰竭,而肾脏本身则很少或完全不具备临床、化验室及组织学方面的病理证据。本病颇为常见。临床上常与肝病晚期表现混淆不清,容易漏诊;治疗上亦缺乏确切有效的方法。近年来对其发病机制不断有所研究,在治疗方面亦有一些新的探索,兹择其重要者介绍如下。 一、本病的临床特点及鉴别诊断要点 1.大都发生于肝硬化末期,一般均有门脉高压、腹水、低钠血症、低蛋白血症。黄疸可有可无。本院病例83％并发有肝性脑病。
Hepatorenal syndrome (HRS) refers to renal failure due to a variety of liver diseases, whereas the kidney itself has little or no clinical, laboratory and histological evidence of pathology. The disease is quite common. Clinically often confused with late liver disease performance confusion, easy to missed diagnosis; treatment is also the lack of effective and effective method. In recent years, its pathogenesis continue to be studied in the treatment of some new exploration, it is its important to choose the following introduction. First, the clinical features of the disease and differential diagnosis 1. Most occur in the end of cirrhosis, portal hypertension, ascites, hyponatremia, hypoalbuminemia. Jaundice is dispensable. 83% of our hospital cases complicated by hepatic encephalopathy.