ppt课件-thehepatorenalsyndrome-nyuschoolofmedicine.pptVIP

The hepatorenal syndrome Assessing kidney function in pts with cirrhosis Cr assays are subject to interference by chromogens, bilirubin being the major one There is decreased hepatic production of creatine The edematous state that complicates end-stage liver disease leads to large distribution of Cr in the body and lower serum Cr concentration Complications such as variceal bleeding, spontaneous bacterial peritonitis or sepsis lead to increased Cr tubular excretion HRS is a form of acute or subacute renal failure characterized by severe renal vasoconstriction, which develops in decompensat