The Liver and Kidney in Critically Ill Patients

被引:12
作者
Slack, Andrew J. [1 ]
Wendon, Julia [1 ]
机构
[1] Kings Coll London, KCH, Inst Liver Studies, London SE5 9RS, England
关键词
Hepatorenal syndrome; Acute kidney injury; Renal blood flow; Cirrhotic cardiomyopathy; ACUTE-RENAL-FAILURE; HEPATORENAL-SYNDROME; PORTAL-HYPERTENSION; PRIMARY PROPHYLAXIS; CIRRHOTIC-PATIENTS; WATER-EXCRETION; RIFLE CRITERIA; NITRIC-OXIDE; SODIUM; INJURY;
D O I
10.1159/000227281
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Both liver and kidney dysfunction are associated with adverse outcomes in critical illness. Advanced liver disease can be complicated by the hepatorenal syndrome (HRS) with liver transplantation offering the best long-term outcome. However, until recently, HRS was associated with such a poor prognosis that this group of patients rarely survived long enough for transplantation to be considered. The use of vasopressin analogues and albumin infusions has improved the management of HRS and outcomes in terms of renal recovery and survival. Copyright (C) 2009 S. Karger AG, Basel
引用
收藏
页码:124 / 134
页数:11
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