Pathophysiological basis of portal hypertension and the new concept of acute kidney injury in patients with liver cirrhosis
10.3760/cma.j.issn.1007-3418.2017.06.003
- VernacularTitle: 门静脉高压的发生基础及肝硬化急性肾损伤的新概念
- Author:
Jiangbin WANG
1
Author Information
1. Department of Gastroenterology, China-Japan Union Hospital of Jilin University, Changchun 130033, China
- Publication Type:Journal Article
- Keywords:
Acute kidney injury in patients with cirrhosis;
Serum creatinine;
Hepatorenal syndrome;
Vasocontrictors;
Albumin
- From:
Chinese Journal of Hepatology
2017;25(6):408-410
- CountryChina
- Language:Chinese
-
Abstract:
Recently, the International Club of Ascites (ICA) has developed a new expert consensus on the diagnosis and treatment of acute kidney injury (AKI) in patients with liver cirrhosis, which reflects the new concept of AKI management in patients with liver cirrhosis. This consensus emphasizes the increase in the absolute value of serum creatinine (SCr) and establishes a new staging system for AKI, which may help to evaluate disease progression and recovery. In addition, the new management concept also emphasizes that when AKI progresses to stage 2/3 or still progresses after comprehensive treatment, a diagnosis can be made and vasoconstrictors and albumin can be used as long as the patient meets the other diagnostic criteria for hepatorenal syndrome, regardless of SCr level.
