Li W G, Xu X Y
Department of Liver Oncology, the Fifth Medical Center, General Hospital of the People's Liberation Army, Beijing 100039, China.
Department of Infectious Diseases, the First Hospital of Peking University, Beijing 100034, China.
Zhonghua Gan Zang Bing Za Zhi. 2020 May 20;28(5):381-385. doi: 10.3760/cma.j.cn501113-20200427-00216.
Renal dysfunction is common in patients with decompensated cirrhosis. The types include of prerenal and postrenal, structural kidney disease, interstitial nephritis and functional renal failure, which is related to hemodynamic changes without obvious histopathological changes, the most common of which are acute kidney injury and hepatorenal syndrome. In recent years, there have been updated to some extents in the liver cirrhosis combined with kidney diseases, especially in the definition, classification, pathogenesis, diagnostic criteria, management process of acute kidney injury and hepatorenal syndrome.
肾功能不全在失代偿期肝硬化患者中很常见。其类型包括肾前性和肾后性、结构性肾病、间质性肾炎以及功能性肾衰竭,后者与血流动力学改变相关而无明显组织病理学改变,其中最常见的是急性肾损伤和肝肾综合征。近年来,肝硬化合并肾脏疾病在一定程度上有了更新,尤其是在急性肾损伤和肝肾综合征的定义、分类、发病机制、诊断标准及处理流程方面。