ФАКТОРЫ РАЗВИТИЯ ГЕПАТОРЕНАЛЬНОГО СИНДРОМА У БОЛЬНЫХ ЦИРРОЗОМ ПЕЧЕНИ ВИРУСНОЙ ЭТИОЛОГИИ
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Гепаторенальный синдром (ГРС) — разновидность острого повреждения почек (ОПП), возникающая у больных декомпенсированным циррозом печени и связанная с высокой смертностью. Алкогольный цирроз был наиболее частой выявленной этиологией цирроза печени. Средняя оценка модели терминальной стадии заболевания печени составила 18 (±7). Асцит был наиболее часто выявляемым клиническим признаком портальной гипертензии. Инфекция выявлена у 38,4% больных, наиболее часто встречающимися были инфекция мочевыводящих путей/пиелонефрит. Спонтанный бактериальный перитонит возник у 5,9% больных. Наиболее распространенной причиной ОПП была преренальная. Гепаторенальный синдром выявлен у 9,8% обращений больных. Предикторами ГРС были асцит в анамнезе, сывороточный креатинин >2,5 мг/дл, альбумин <3 г/дл, билирубин >2 мг/дл и спонтанный бактериальный перитонит. Мы демонстрируем сильные предикторы развития ГРС, которые могут помочь врачам в ранней диагностике ГРС, что приведет к быстрому и целенаправленному лечению и улучшению результатов.
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