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Is kidney failure can be dead?

2017-01-03 15:20

These days, editor watched a TV series: adapted from the novel "energy-saving". There is a fragment of the play: Chen he played Lin three, his sister got the disease with us: kidney failure! Finally died!

There are 2 points to be clarified:
1. Acute renal failure serious, into the ICU ward, that is intensive care unit. In time for the treatment of blood volume, acidosis, shock and infection, maintaining the balance of body fluid. In the use of CRRT (continuous renal replacement therapy, similar dialysis) in the blood purification room (dialysis room).
So, this play into the operation room is why? Immediately take kidney transplant? When that time emergency situation, complications raging, the patient's body simply can not afford the transplant surgery, this surgery is tantamount to murder. It is certainly that not take kidney transplant, so why into the operation room. Not because the doctor is a brain fever, go wrong door to die......
Once the disease has induced acute renal failure, the primary disease should be treated as soon as possible, pay attention to the expansion of blood volume, correct water, electrolyte imbalance and acid-base imbalance, recovery cycle function. If it is found that the disease will occur, should take  measures early to supplement the blood volume, increase cardiac output, recovery of renal perfusion flow and glomerular filtration rate, eliminate intratubular obstruction, prevention of infection, prevention of renal parenchyma caused by renal ischemia damage. At the same time, as soon as possible application of promoting blood circulation drugs, to prevent the occurrence of this disease has a positive effect.

2. Acute renal failure does not directly cause death (at least in this article the renal failure patients still alive). This disease caused by a variety of causes of acute kidney injury, within a few hours or days to nephron regulating function decreased dramatically, so as not to maintain fluid balance and electrolyte excretion of metabolites, and cause hyperkalemia, metabolic acidosis and acute uremia syndrome. It is important to note that acute renal failure caused by multiple organ failure, severe infection, gastrointestinal bleeding, respiratory failure, circulatory failure, hyperkalemia and so on, these will cause death

So, say that acute renal failure will be dead was not wrong, but the medical records are just: acute renal failure, and no specific cause of death, lack of rigor.
Living on a diet, pay attention to hygiene, avoid evil, especially in the infectious disease epidemic season and regions should strengthen preventive measures; however, eat spicy Atsumi sunburn Huang, to prevent the breeding of damp heat; regulating emotions, maintain a happy, make blood smooth and avoid gas stagnation and blood stasis; strengthen physical exercise, improve defensive ability. Prevention of acute renal failure.
As for this thing, everybody not be anxious, after all not required the crew's medical experts, watching smiled, and knowing it okay.


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