[Uremia, hydroelectrolytic and acid-base changes in kidney failure of chronic hepatopathies]

The author presents 16 patients with chronic liver diseases that developed renal failure. The author emphasizes the picture characteristics as prolonged evolution of non-oliguric renal failure tending to the rise of serum sodium in 2 cases and fall of serum potassium and less seriousness of metabolic acidosis compensated by respiratory alkalosis, and a further patient with metabolic alkalosis and paradoxal acidury. The collection of these elements perhaps explain the evolution of the diseases in the patients without dialysing treatment measures. The clinic pictures should be considered as part of the alterations of terminal hepatic failure.