The hepatorenal syndrome clinical performance

Hepatorenal syndrome following clinical features : 1 Most occurred in the late cirrhosis and portal hypertension generally have, ascites, hyponatremia, hypoproteinemia, jaundice dispensable and hypotension may have liver encephalopathy, often hepatic coma; ② no past history of chronic kidney disease. patients originally perfectly normal renal function, renal failure can be in a few months, a few weeks or a few days rapidly, and increasing liver damage; ③ majority of a certain incentives, such as a strong diuretic, a large number take ascites, gastrointestinal bleeding and the use of some prostaglandin synthesis of drugs, but also no obvious incentives; ④ urinary pH of acidic, no abnormal urine test, or only mild proteinuria, and we can see a small transparent tube-type particles and microscopic hematuria; ⑤ glomerular filtration rate and renal plasma flow was decreased urinary sodium often <10> 20, urine osmolality / plasma osmolality> 1.