脾肾分流术后急性肝肾综合征的生存情况。
Survival from acute hepatorenal syndrome following splenorenal shunt.
作者信息
Fischer J E, Foster G S
出版信息
Ann Surg. 1976 Jul;184(1):22-5. doi: 10.1097/00000658-197607000-00003.
Abstract
Acute aggravation of chronic hepatorenal syndrome following angiography is described in a patient with recovery and long-term survival following splenorenal shunt. It is believed that this patient represents a type of hepatorenal syndrome which can be expected to tolerate shunt and recover from hepatorenal syndrome. Possible mechanisms of the pathophysiology are discussed and recommendations made on this basis for the selection of such patients for portal decompression.
摘要
一名患者在脾肾分流术后恢复并长期存活，其血管造影后出现慢性肝肾综合征急性加重。据信，该患者代表了一种肝肾综合征类型，有望耐受分流并从肝肾综合征中恢复。文中讨论了病理生理学的可能机制，并在此基础上就选择此类患者进行门脉减压提出了建议。
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本文引用的文献
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Role of Hepatic Arterial Blood Flow and Hepatic Nerves on Renal Circulation and Function: I. Acute Studies in the Dog.肝动脉血流和肝神经对肾循环及功能的作用：I. 对犬的急性研究
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Acute changes in renal excretion of water and solute in patients with Laennec's cirrhosis, induced by the administration of the pressor amine, metaraminol.在Laennec肝硬化患者中，使用升压胺间羟胺后肾脏对水和溶质排泄的急性变化。
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Renal failure in the patient with cirrhosis. The role of active vasoconstriction.肝硬化患者的肾衰竭。活性血管收缩的作用。
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9
Functional renal failure in cirrhosis. Recovery after portacaval shunt.肝硬化中的功能性肾衰竭。门腔分流术后的恢复情况。
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