University College London Centre for Nephrology, The Royal Free Hospital, University College London, Medical School, London, United Kingdom.
Clin J Am Soc Nephrol. 2012 Dec;7(12):2041-8. doi: 10.2215/CJN.03390412. Epub 2012 Sep 13.
Acute deterioration in kidney function in a patient with cirrhosis and ascites presents a difficult management problem, and it is associated with increased mortality. In this Attending Rounds paper, a patient with oliguric AKI is presented to emphasize the role of laboratory and bedside tests that can establish a correct diagnosis and lead to appropriate management.
肝硬化伴腹水患者的肾功能急性恶化是一个棘手的管理问题,与死亡率增加相关。在本期主治医生查房中,我们介绍了一例少尿型急性肾损伤患者,强调了实验室和床边检查在明确诊断和制定恰当治疗方案中的作用。