肝硬化合并肝肾综合征的临床特点分析

目的探讨肝硬化合并肝肾综合征的临床特点。方法分析患者的病因,Child-Pugh肝功能分级及肝肾综合征的诱因,比较Ⅰ型、Ⅱ型肝肾综合征发病前后的血肌酐、血钠和尿量变化。结果肝肾综合征的发病率为8.46%;全部为肝硬化患者;其中大量腹水者14例,自发性腹膜炎或其他部位感染者11例,上消化道出血者9例,大量放腹水(2 000 ml/次)而未采取补充有效血容量5例,中等量以下腹水且无上述诱因者14例,肝移植失败后诱发肝肾综合征1例。Child-Pugh B级5例,Child-Pugh C级49例。结论肝功能储备状态差;大多数患者发病前有诱因,血肌酐值明显升高,尿量减少明显,血钠减少。

Analysis of clinical characterize of cirrhosis accompany HRS

Objective To discussion the clinical feature of hepatorenal syndrome（HRS）.Method The cause,Child-Pugh liver function grade and inducement of HRS were analyzed and creatinine in blood,natrium in blood and urine of Ⅰtype toⅡtype were compared.Result The morbidity of HRS was 8.46%;All of patients were cirrhosis.14 cases had much abdominal water,11 casess had infected in peritoneum or other positions,9 cases had upper digestive tract bleed.5 cases had put out much abdominal water history but not supply proper blood volume,14 cases had lower moderated abdominal water and no any cause,1 case had failed from liver transplant.5 cases were Child-Pugh B grade,49 cases were Child-Pugh C grade.Conclusion All of patients are poor in their reserve liver function;They all have cause.Creatinine in blood is obviously increased.Urine is obviously decreased.Natrium in blood is decrease.