Abstract: Hepatorenal syndrome is a serious complication which occurs in patients with cirrhosis, acute
liver failure or alcoholic hepatitis. The main pathogenesis is peripheral and visceral arteries, decreased
cardiac output and renal arteries. International Club of Ascites (ICA) has developed the diagnostic criteria for
hepatorenal syndrome-acute renal injury in 2015, which provided a new clinical pathway for early diagnosis
and intervention. Recent studies showed that terlipressin and albumin is the standard treatment regimen and
norepinephrine combined with albumin is the second best solution. To prevent infection and avoid the use of
nephrotoxic drugs can prevent the occurrence of HRS.