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• W3023677184 abstract "Le syndrome hépatorénal (SHR) est une insuffisance rénale aiguë fonctionnelle par vasoconstriction rénale qui survient chez le cirrhotique avec dysfonction vasculaire. La vasoconstriction rénale est réactionnelle à la vasodilatation artériolaire diffuse. Il existe deux types de SHR qui se distinguent selon l’évolution et le stade de l’insuffisance rénale et dont le pronostic est différent. La transplantation hépatique demeure le traitement de référence. Les traitements médicamenteux d’attente sont essentiellement représentés par les analogues de la vasopressine. La place de l’épuration extrarénale et des techniques de shunt intrahépatique portosystémique restent à préciser. Le pronostic du SHR est défavorable avec une mortalité à court terme élevée en l’absence de traitement. The hepatorenal syndrome (HRS) is an acute functional renal failure due to renal arterial vasoconstriction occurring in cirrhotic patients with vascular dysfunction. The renal arterial vasoconstriction is the result of diffuse arteriole vasodilatation. There are two types of HRS, which can be differentiated according to the course and the stage of the renal failure; they have a different prognosis. Liver transplantation remains the standard treatment. Maintenance medical therapy is mainly based on vasopressin analogues. The interest of both dialysis and portosystemic intrahepatic shunt techniques remains to be determined. The prognosis of HRS is poor and in the absence of treatment, onset is usually followed by rapid fatal outcome." @default.
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• W3023677184 date "2009-04-01" @default.
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• W3023677184 title "Syndrome hépatorénal" @default.
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• W3023677184 doi "https://doi.org/10.1016/j.nephro.2008.03.005" @default.
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