传染病信息
傳染病信息
전염병신식
INFECTIOUS DISEASE INFORMATION
2014年
2期
69-73
,共5页
肝硬化%急性肾损伤%肝肾综合征
肝硬化%急性腎損傷%肝腎綜閤徵
간경화%급성신손상%간신종합정
liver cirrhosis%acute kidney injury%hepatorenal syndrome
急性肾损伤（acute kidney injury, AKI）是肝硬化最严重的并发症之一。肝硬化背景下的肾损伤在临床上可分为AKI、慢性肾病和慢加急性肾病。Ⅰ型肝肾综合征（hepatorenal syndrome, HRS）是一种特殊类型的AKI，Ⅱ型HRS属于慢性肾功能衰竭，有学者还提出所谓具有肾脏结构性病变的Ⅲ型HRS。本文介绍了近年关于肝硬化AKI的诊断、分类、进展规律、预后及防治等方面的新进展。
急性腎損傷（acute kidney injury, AKI）是肝硬化最嚴重的併髮癥之一。肝硬化揹景下的腎損傷在臨床上可分為AKI、慢性腎病和慢加急性腎病。Ⅰ型肝腎綜閤徵（hepatorenal syndrome, HRS）是一種特殊類型的AKI，Ⅱ型HRS屬于慢性腎功能衰竭，有學者還提齣所謂具有腎髒結構性病變的Ⅲ型HRS。本文介紹瞭近年關于肝硬化AKI的診斷、分類、進展規律、預後及防治等方麵的新進展。
급성신손상（acute kidney injury, AKI）시간경화최엄중적병발증지일。간경화배경하적신손상재림상상가분위AKI、만성신병화만가급성신병。Ⅰ형간신종합정（hepatorenal syndrome, HRS）시일충특수류형적AKI，Ⅱ형HRS속우만성신공능쇠갈，유학자환제출소위구유신장결구성병변적Ⅲ형HRS。본문개소료근년관우간경화AKI적진단、분류、진전규률、예후급방치등방면적신진전。
Acute kidney injury (AKI) is one of the most severe complications in patients with liver cirrhosis. The kidney in-jury in the background of liver cirrhosis can be classified into AKI, chronic kidney disease and acute-on-chronic kidney disease. Type 1 hepatorenal syndrome (HRS) is a special kind of AKI, type 2 HRS belongs to chronic kidney failure, and the recently pro-posed type 3 HRS is the type with kidney structural injury. This review focuses on the recent research progress of diagnosis, classifi-cation, progression, prognosis, prevention and treatment of AKI in patients with liver cirrhosis.
