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2012年8月5日星期日
Hematuria detection ,Renal insufficiency-related symptoms
Hematuria detection
In general, hematuria caused by internal diseases, because the majority of kidney disease caused by the combination of patients with edema, hypertension and renal dysfunction, or both hematuria and proteinuria, urinary tube, you can get the clinical diagnosis . Surgical diseases caused hematuria majority need to do a special check to be confirmed.
Hematuria detection methods:
A, B-ultrasound. Has been widely used for clinical purposes to determine kidney size, shape, location and diagnosis of renal cystic space-occupying lesions are of great value. Filling the bladder to do this check after the diagnosis of bladder and prostate disease.
Second, the cystoscopy. Clinically suspected to have bladder diseases such as inflammation, tuberculosis, tumors, can not be diagnosed by the general inspection, do the cystoscopy, and clear the lesion, the scope and nature and desirability of the biopsy.
, CT and MRI. Kidney tumors, cysts, and vascular lesions, the general inspection not satisfied to do this check.
Fourth, the renal biopsy. Hematuria due to renal parenchymal disease have been identified, to further clarify the pathological diagnosis, you need to do renal biopsy, which have important significance in guiding the treatment and prognosis.
Five radionuclides. Radionuclide gamma-ray characteristics determined by in vitro dynamic renal blood flow, secretion and excretion, showing the kidney and ureter, the bladder shape and lesions.
Renal insufficiency-related symptoms
Renal dysfunction is a common kidney disease, renal insufficiency-related symptoms is described below
A performance of the gastrointestinal tract is the earliest and most frequently in the uremic symptoms. The chief complaint of anorexia, abdominal discomfort in the early, after the nausea, vomiting, diarrhea, glossitis, mouth of the urine odor and oral mucosal ulceration, and even gastrointestinal bleeding.
Second, the spirit, the spirit of the nervous system malaise, fatigue, dizziness, headache, memory loss, insomnia, limbs numb, hand, foot and burning pain and skin itching, or lower extremity itching unbearable, to be constantly on the move, not of repose, late, there may be lethargy, irritability, delirium, muscle fibrillation, and even convulsions, seizures, coma.
Third, the cardiovascular system performance often have high blood pressure and expand the long-term hypertension causes left ventricular hypertrophy, myocardial damage, heart failure, retention of toxic substances can cause myocardial damage, the occurrence of uremic pericarditis.
Four, the performance of the hematopoietic system anemia uremic patients must have symptoms. In addition to anemia are still susceptible to bleeding such as ecchymosis, epistaxis, gingival bleeding, black stools and so on.
Respiratory performance acidosis breathing deep and long. Retention of metabolites that can cause of uremic bronchitis, pneumonia, pleurisy, and appropriate clinical signs and symptoms.
6, skin manifestations of dull skin, dry desquamation.
, Metabolic acidosis.
Dehydration or edema.
Nine and electrolyte balance disorders. Hyponatremia and sodium retention, hypocalcemia and hyperphosphatemia.
10 patients with metabolic disorders and more significant hypoproteinemia and weight loss, in addition to uremic patients often have hyperlipidemia.
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