Классификация гепато-ренального синдрома у больных острой абдоминальной хирургической патологией

There is no universal classification of hepato-renal failure in surgical patients nowadays which makes it difficult to make clinical diagnosis and choose adequate methods of treatment. For the purpose of developing an up-todate classification applicable to clinical practice, 1057 patients with AASP were studied. In 398 (37,6 %) cases hepatorenal syndrome (HRS) developed. Development of classification of HRS was based on the main etiopathological factors, nosological form and presence of additional etiopathological factors (i.e. acute intestinal failure, peritonitis and biliary hypertension). In classification of HRS the time of development of HRS was considered, 3 degrees of severity were distinguished, patients with primary failure of liver or kidney were noted. Development of classification of HRS in patients with abdominal surgical pathology (AASP), taking into consideration modern criteria of hepato-renal failure, is applicable to scientific analysis. This classification can be used in working with patients with different acute abdominal surgical diseases and increases the effect of treatment.