Fullen W D
Surgery. 1977 Sep;82(3):337-41.
Two patients with hepatorenal syndrome were treated by insertion of a peritoneovenous shunt. The renal deficit was corrected rapidly in both cases. A 62-year-old woman with a slow onset syndrome with urine output of 100 to 150 ml/day and urinary sodium excretion of 1 mEq/day responded with large volume urinary output and sodium excretion. She is alive with minimal ascites 18 months after shunt. A 53-year-old man with severe nutritional cirrhosis, alcoholic hepatitis, and eventual massive necrosis was treated for bleeding esophageal varices by portacaval shunt. Postoperative massive ascites progressed to acute hepatorenal syndrome. Insertion of a peritoneovenous shunt reversed the renal deficit. HE eventually exsanguinated due to a hemorrhagic diathesis caused by massive hepatic necrosis.
两名肝肾综合征患者接受了腹腔静脉分流术治疗。两例患者的肾功能不全均迅速得到纠正。一名62岁女性，患有起病缓慢的综合征，尿量为100至150毫升/天，尿钠排泄量为1毫当量/天，术后尿量和钠排泄量大幅增加。分流术后18个月，她存活下来，腹水极少。一名53岁男性，患有严重的营养性肝硬化、酒精性肝炎，最终出现大片肝坏死，因食管静脉曲张破裂出血接受了门腔分流术治疗。术后大量腹水进展为急性肝肾综合征。插入腹腔静脉分流管后肾功能不全得到逆转。最终，他因大片肝坏死导致的出血素质而失血过多死亡。
