How hepatorenal syndrome treatment

Decompensated cirrhosis patients, in the event of hepatorenal syndrome, treatment is very difficult, the most fundamental is the first treatment for the original disease -- Baogan to promote hepatocyte function resumed as soon as possible. Secondly, the elimination and timely treatment of renal failure caused by incentives, such as gastrointestinal bleeding treatment, the diuretic inappropriate corrective measures treatment of diarrhea and dehydration, the body eliminate the infection foci; to ensure an adequate supply of energy to maintain the water and electrolyte balance. stop the use of liver and kidney damage of drugs and other remedial measures. Expansion therapy. Appropriate and reasonable expansion of the plasma low blood volume, low-protein, low cardiac output in patients, especially important, Only after hemorrhagic can fill the renal blood flow, so as to improve liver and kidney function. Choice of fresh whole blood, plasma and blood albumin, 706 plasma, such as dextral anyone anhydride. At the same time complement hemorrhagic substantial diuretics remove tissue edema, ascites, reduce heart stress, remove harmful metabolites, the heart, liver, kidney or other organs have a positive role. Reinfusion of losers therapy. The body of the same basic ingredients ascites plasma, which contains large amounts of albumin and electrolyte. If it back after processing input in vivo efficacy sure that conditions will be tested. Vasoactive drug applications. Choice of dopamine, papaverine, Aramine, Fufangdanshen injection, phentolamine drugs, the expansion of renal vascular, renal blood flow, a positive role. Another possible artificial kidney dialysis therapy, the blood clearance of harmful substances, reduce azotemia, lower serum potassium. correct acidosis significantly increase the effectiveness of the conditions can use. But this method has higher prices and complicated to operate. The last option for the door cavity or splenorenal venous anastomosis, ascites a neck vein catheterization. To ease the symptoms, reduce ascites, natriuretic peptides have a certain degree of efficacy. Liver transplants had many reports, postoperative renal function will soon resume; But a lot more difficult to carry out. pending future trial.