肝肾综合征
医学
肝硬化
病因学
急性肾损伤
重症监护医学
病理生理学
内科学
肾脏替代疗法
胃肠病学
作者
Caroline L. Matchett,Douglas A. Simonetto,Patrick S. Kamath
标识
DOI:10.1016/j.cld.2022.08.010
摘要
Renal failure is one of the most prevalent complications in patients with cirrhosis and is of the utmost prognostic relevance. Acute kidney injury (AKI) in cirrhosis results from a spectrum of etiologies, of which hepatorenal syndrome (HRS) carries the worst prognosis. Correct differentiation of the etiology of AKI in cirrhosis is imperative, as treatment defers substantially. This review summarizes the current diagnostic criteria, pathophysiology , diagnosis, and therapeutic concepts for AKI and HRS–AKI in cirrhosis.
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