The clinical performance of liver and kidney syndrome

Hepatorenal syndrome following clinical features: ① most occurred in the late cirrhosis, both general portal hypertension, ascites, hyponatremia, hypoproteinemia, jaundice dispensable, have low blood pressure and liver and brain Disease, liver often unconscious; ② no past history of chronic kidney disease, the patient was completely normal kidney function, renal failure may be a few months, a few weeks or a few days rapidly emerging and growing liver damage; ③ majority of a certain incentives, such as strong Diuretic, put a lot of ascites, gastrointestinal bleeding and take some of the effects of prostaglandin synthesis of drugs, but also no incentive to; ④ urine pH is acidic, no abnormal urine test, or only minor proteinuria, that a small amount of transparency And the type of particles and microscopic hematuria; ⑤ glomerular filtration rate and renal plasma flow decreased significantly, urinary sodium often <10> 20, osmotic pressure urine / blood osmotic pressure> 1.