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Reappraising the spectrum of AKI and hepatorenal syndrome in patients with cirrhosis

机译:重新评估肝硬化患者AKI和Hepatorenal综合征的谱

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摘要

Hepatorenal syndrome type 1 (HRS-1) is a specific type of acute kidney injury (AKI) that is largely considered a functional derangement that ultimately affects renal vasculature tone. This Review describes new insights that suggest that non-haemodynamic tubulo-toxic factors, such as endotoxins and bile acids, might mediate parenchymal renal injury in patients with cirrhosis, suggesting that concurrent mechanisms might contribute to the development of AKI in patients with cirrhosis.
机译:Hepatorenal综合征1型(HRS-1)是一种特定类型的急性肾损伤(AKI),主要被认为是最终影响肾脉管的功能性紊乱。 本综述描述了新的见解,表明非血液动力学微管毒性因素,如内毒素和胆汁酸,可能会介导肝硬化患者的实质肾损伤,这表明并发机制可能有助于肝硬化患者的AKI发育。

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