There are four steps to uremia: Uremia blood examination: Urea nitrogen and creatinine increased. Plasma protein may be normal or decreased. Abnormal electrolyte determination. The hemoglobin generally below 80g/L, terminal can be reduced t...
There are four steps to uremia:
Uremia blood examination:
Urea nitrogen and creatinine increased.
Plasma protein may be normal or decreased.
Abnormal electrolyte determination.
The hemoglobin generally below 80g/L, terminal can be reduced to 20-30g/L, with the decrease of platelet or leucocyte on the high side.
The arterial blood gas, acid-base determination; late often pH decreased and AB, SB and BE were decreased, PaCO2 showed a compensatory decrease.
Two, uremic urine examination:
The change of urine routine can be different due to the different causes of the disease, and may have proteinuria, red, white blood cell or tube type, but also can not change obviously.
Second, the proportion of urine is more than 1.018, when uremia is fixed at 1.010~1.012, the amount of urine at night is more than that of daytime urine.
Three, renal function test:
Glomerular filtration rate and creatinine clearance rate decreased.
The phenolsulfonphthalein excretion test and urine concentration and dilution test were all decreased.
Determination of pure water clearance.
The radionuclide imaging, scanning and renal scintigraphy also helps to understand the status of renal function.
Four, other examination: urinary system X-ray plain film, angiography, renal puncture, etc.. Diagnosis of uremic patients, according to etiological factors for treatment, but also extracellular matrix components and kidney enzyme system to kidney corresponding testing etc..
In addition, when uremia after the diagnosis of uremia, according to the condition of the corresponding examination, and to develop the relevant treatment plan, to prevent the advent of end-stage uremia. The details you can Xunyiwenyao network asked the white channel online consulting kidney specialist details about nephropathy examination.
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