Pladson T R, Parrish R M
Arch Intern Med. 1977 Sep;137(9):1248-9. doi: 10.1001/archinte.137.9.1248.
The renal failure in the hepatorenal syndrome is unusual because the kidneys are histologically normal and the renal failure may be "functional." Hemodynamic studies indicate that increased renal vascular resistance and decreased renal blood flow may be the primary abnormalities leading to renal failure in some cases. This report describes a patient whose renal failure resolved after placement of a peritoneovenous shunt. A major advantage of this device is that it can be inserted with the patient under local anesthesia with minimal surgical risk. Further studies are needed to define the role of the peritoneovenous shunt in the hepatorenal syndrome.
肝肾综合征中的肾衰竭很不寻常，因为肾脏在组织学上是正常的，且肾衰竭可能是“功能性的”。血流动力学研究表明，肾血管阻力增加和肾血流量减少可能是某些病例中导致肾衰竭的主要异常情况。本报告描述了一名患者，其肾衰竭在置入腹腔静脉分流术后得到缓解。该装置的一个主要优点是可以在局部麻醉下为患者插入，手术风险极小。需要进一步研究来确定腹腔静脉分流术在肝肾综合征中的作用。
