Renal failure in cirrhosis: Emerging concepts

作     者：Paulo Lisboa Bittencourt Alberto Queiroz Farias Carlos Terra 

作者机构：Unit of Gastroenterology and HepatologyPortuguese Hospital University of Sao Paulo School of Medicine Pedro Ernesto University HospitalState University of Rio de Janeiro 

出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)

年 卷 期：2015年第7卷第21期

页      面：2336-2343页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Renal failure End-stage liver disease Acute kidney 

摘      要：Acute renal failure, now termed acute kidney injury(AKI), is frequently found in patients with cirrhosis. The occurrence of AKI, irrespective of the underlying cause, is associated with reduced in-hospital, 3-mo and 1-year survival. Hepatorenal syndrome is associated with the worst outcome among AKI patients with cirrhosis. Several definitions for AKI that have been proposed are outlined and evaluated in this paper. Among these, the International Club for Ascites-AKI criteria substantially strengthen the quality of early diagnosis and intervention according to underlying cause of AKI.