What does the expression of acute uremia see more?2017-01-25 13:38
Kidney disease can be pided into many kinds, acute uremia is one of them, the disease harm to the human body is very big, so we have to attention, and the disease comes from life, and life, we must seize the time to make the disease prevention measures for the disease, of course, should see more more understanding, if suffering from easy to heal. So, the following by our hospital for the analysis of acute kidney experts to see more common manifestations of uremia!
Acute tubular necrosis (ATN) is one of the most common types of acute renal failure. However, it is often caused by multiple factors, such as sepsis, renal hypoperfusion and nephrotoxicity.
The clinical course is as follows:
During this period, patients often suffer from known causes of ATN, such as hypotension, ischemia, sepsis, and nephrotoxicity. However, there is no obvious impairment of renal parenchyma. At this stage of acute uremia can be prevented. But accompanied by renal tubular epithelial was damaged, GFR suddenly reduced, acute uremic syndrome clinical manifestation becomes obvious, then enter the maintenance period.
Maintenance period: typical for 7 ~ 14 days, but also can be as low as a few days, up to 4 ~ 6 weeks. Glomerular filtration rate (detoxification capacity) was maintained at a low level. Many patients may show less urine, but some patients may be without oliguria, urine volume in 400 ~ 500ml/d above. The physiological basis of the pathogenesis of non oliguria acute uremia is not very clear at present, but no matter whether the urine volume is reduced, accompanied by a decline in renal function, clinical manifestations of a series of high performance of uremia creatinine.
1, the digestive system manifestations of systemic complications of acute uremia, such as anorexia, nausea, vomiting, abdominal distension, diarrhea, severe patients with hemorrhage of digestive tract; respiratory system in addition to volume overload and infection performance, can show the performance of dyspnea and cough, shortness of breath, chest pain and other high creatinine uremic pneumonia; circulation the system because of oliguria and fluid overload, showing high blood pressure and heart depression, pulmonary edema, due to toxin retention, electrolyte imbalance, anemia and acidosis caused by various cardiac imbalance and myocardial lesions.
2, the imbalance of water, electrolyte and acid-base balance showed excessive water, metabolic acidosis, hyperkalemia, hyponatremia, low calcium and hyperphosphatemia.
3, recovery of renal tubular cell regeneration, recovery, recovery of renal tubule integrity. Glomerular filtration rate (detoxification) gradually returned to normal or near normal range. Oliguria patients initially showed diuresis, polyuria, and then returned to normal.
Analysis of the common manifestations of acute uremia! The above is my kidney experts to explain this, we hope to bring help. Reminder: in life we can not always stay away from some diseases, however, we can understand the disease related knowledge, to seize the time to do the prevention of disease, especially acute uremia the side effects of the disease should pay more attention, if you have the above performance show, please hurry up medical treatment.