医
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肝肾综合征、食欲不振、腹水、氮质血症、乏力、肾小管坏死、少尿、消瘦、厌食、扑翼样震颤
Hepatorenal syndrome is functional renal failure in advanced cirrhosis/acute liver failure, due to splanchnic vasodilation and renal vasoconstriction, presenting with oliguria/azotemia. Treatment: exclude prerenal/intrinsic causes; volume expansion with IV albumin; vasoconstrictors (terlipressin/norepinephrine); avoid nephrotoxins (NSAIDs/contrast/aminoglycosides); treat precipitants (infection/bleeding/diarrhea); TIPS in selected; liver transplant is definitive; monitor urine output/creatinine/electrolytes; ICU if severe; follow-up.
Oliguria; azotemia; in advanced cirrhosis; no intrinsic renal disease
Splanchnic vasodilation causes renal hypoperfusion and functional failure.
Albumin + terlipressin/norepinephrine; avoid nephrotoxins; TIPS/transplant
Avoid nephrotoxins; treat SBP early; monitor renal function.
It is recommended to visit the Hepatology/Nephrology/Critical-care/Transplant department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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