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作 者:Sharon Turban Paul J Thuluvath Mohamed G Atta
机构地区:[1]Department of Medicine, Division of Nephrology, Johns Hopkins School of Medicine and the Johns Hopkins Hospital, Baltimore, Maryland, United States [2]Department of Medicine, Division of Gastroenterology, Johns Hopkins School of Medicine and the Johns Hopkins Hospital, Baltimore, Maryland, United States
出 处:《World Journal of Gastroenterology》2007年第30期4046-4055,共10页世界胃肠病学杂志(英文版)
摘 要:Hepatorenal syndrome (HRS) is a "functional" and reversible form of renal failure that occurs in patients with advanced chronic liver disease. The distinctive hallmark feature of HRS is the intense renal vasoconstriction caused by interactions between systemic and portal hemodynamics. This results in activation of vasoconstrictors and suppression of vasodilators in the renal circulation. Epidemiology, pathophysiology, as well as current and emerging therapies of HRS are discussed in this review.Hepatorenal syndrome (HRS) is a "functional" and reversible form of renal failure that occurs in patients with advanced chronic liver disease. The distinctive hallmark feature of HRS is the intense renal vasoconstriction caused by interactions between systemic and portal hemodynamics. This results in activation of vasoconstrictors and suppression of vasodilators in the renal circulation. Epidemiology, pathophysiology, as well as current and emerging therapies of HRS are discussed in this review.
关 键 词:Acute renal failure End stage liver disease Hepatorenal syndrome Transjugular intrahepatic portosysternic shunts DIALYSIS Liver transplantation
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