How points hepatorenal syndrome treatment

Treatment of hepatorenal syndrome, the focus should be on improving liver function and to avoid inducing factors and treatment, the specific treatment of the following:
(1) to enhance the treatment of liver disease, renal failure occurred avoid: cautiously uses diuretics, and abandoning large release ascites, disable non-steroidal anti-inflammatory drugs, medicines can inhibit prostaglandin synthesis, inducing the disease. Nephrotoxicity cautiously uses drugs, aggressive treatment gastrointestinal bleeding.
(2) the application of vasoactive drugs: Most scholars believe that the lack of effective circulating blood volume causes the start of this disease, it is still advocated expansion of the trial, including the importation of isotonic saline, plasma, albumin; for plasma renin activity and Angiotensin Ⅱ were significantly increased, leading to renal vasoconstriction, the people of dopamine antagonists and angiotensin-supercharged muscle C in the treatment, but the effect is not yet sure.
(3) ascites to lose: albumin may be added to increase colloid osmotic pressure, increase blood circulation of effective, the treatment of refractory ascites have some effect.
(4) liver transplantation: it is difficult to stop the liver failure patients, this may be the only effective therapy, to be discussed in future efforts.