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肝肾综合征是一种病因不明发生于失代偿肝病患者中的急性肾衰。本文作者报告两例肝肾综合征患者,经血液透析治疗后肝肾功能均有改善及恢复。病例1,61岁,男性,因意识模糊及呕血入院。曾因食道曲张静脉出血而行门静脉分流术。肝活检为酒精中毒性肝硬化。入院前曾因腹水用安体舒通(100mg)和butizid(10mg)治疗。体检病人倦睡有蜘蛛痣,无黄疸及腹水,肝脾无肿大,血压正常,内窥镜证实为消化性溃疡伴出血。实验室检查:血红蛋白8.0g％,血小板21.3万,血氨94μmol/l,谷草转氨
Hepatorenal syndrome is an acute renal failure in which the cause is unknown in patients with decompensated liver disease. The authors report two cases of patients with hepatorenal syndrome, hemodialysis after hemodialysis have improved and restored liver function. Cases 1,61 years old, male, due to confusion and hematemesis admission. Had due to esophageal varicose vein bleeding and portal vein shunt. Liver biopsy for alcoholic cirrhosis. Ascites was treated with spironolactone (100 mg) and butizid (10 mg) before admission. Physical examination of patients with sleepy spider nevus, jaundice and ascites, liver and spleen without swelling, normal blood pressure, endoscopic confirmed peptic ulcer with bleeding. Laboratory tests: hemoglobin 8.0g%, platelet 213000, ammonia 94μmol / l, transglutaminase