我们共收治重症急性胆管炎(ACST)并发肝肾综合征(HRS)22例,本文结合病例就ACST并发HRS的机制,诊断与治疗作初步探讨。临床资料一、诊断标准我们参照周子成的诊断标准拟定下列4条为本组诊断标准。①按1983年重庆会议标准确诊为ACST且有肝功能损害;②有少尿或无尿及氮质血症;③有低钠血症;④排除原发性肾疾患及肾前性氮 We treated a total of 22 cases of severe acute cholangitis (ACST) complicated with hepatorenal syndrome (HRS) .This article combines the cases of ACST complicated with HRS mechanism, diagnosis and treatment for initial discussion. Clinical data First, the diagnostic criteria We refer to Zhou Zicheng diagnostic criteria to develop the following four diagnostic criteria for the group. ① according to the 1983 Chongqing meeting criteria for the diagnosis of ACST and liver dysfunction; ② oliguria or no urine and azotemia; ③ hyponatremia; ④ exclude primary renal disease and prerenal nitrogen