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临床医生往往将所有重症肝病并发急性肾功能衰竭(ARF)诊断为肝肾综合征(HRS),实际其中部份非HRS。我们收集我院近年住院诊断为HRS者55例,经分析发现49例为HRS,余6例系重症肝病并发其他病因所致急性肾小管坏死(ATN)。今一并分析如下,从中可以识其异同,HRS的临床特点,尤其在我国的特点,并探讨其诊断标准。病例和方法病例选自我院1985～1992年8年间出院诊断为HRS者。HRS的诊断依据:重症肝病本身引起的少尿性ARF,排除其他已知原因者;并发ATN的诊断依据:重症肝病并发肾缺血或肾中毒所致ANT,此种并发病因即使在非重症肝病也足以导致ATN者。本文6例并
Clinicians often diagnose all severe liver disease complicated with acute renal failure (ARF) as hepatorenal syndrome (HRS), in fact, some of them are not HRS. In our hospital, we collected 55 cases diagnosed as HRS in our hospital in recent years. According to the analysis, 49 cases were diagnosed as HRS, and 6 cases suffered from severe liver disease accompanied by other causes of acute tubular necrosis (ATN). This and an analysis of the following, from which you can recognize the similarities and differences, the clinical features of HRS, especially in our country, and explore its diagnostic criteria. Cases and methods were selected from our hospital from 1985 to 1992 8 years were discharged from the hospital diagnosed as HRS. HRS diagnosis based on: oliguric ARF caused by severe liver disease itself, excluding other known causes; diagnosis of concurrent ATN based on: severe liver disease complicated with renal ischemia or renal toxicity caused by ANT, such concurrent causes even in non-severe liver disease Also enough to cause ATN. This article 6 cases and