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요약정보
肝肾综合征治疗进展 / The development of treatment of hepatorenal syndrome
Resource Type
Academic Journal
Authors
谢永鹏
;
侯玥
;
臧秀贤
;
初喆
Source
临床肝胆病杂志 / JOURNAL OF CLINICAL HEPATOLOGY
. 27(5):558-561
Subject
肝肾综合征
Language
Chinese
ISSN
1001-5256
Online Access
Find it @ DONGA
초록
肝肾综合征(HRS)是严重肝病常见并发症,病死率高.发病机制尚不十分明确,临床表现主要为功能性肾衰竭,对其正确诊断非常重要.治疗主要是针对循环动力学改变及肾灌注不足等环节,选择具有较强的全身血管收缩作用,而对肾动脉无影响的血管活性药,加上血管扩张剂,以逆转高动力循环状态,并借助血液净化系统改善肾功能;针对门静脉高压环节给予经颈静脉肝内门一体分流(TIPS)治疗;最佳治疗是肝移植.HRS应采取积极预防措施.
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