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What are the complications of acute glomerulonephritis?

2017-05-10 18:01

Nephritis occurs at the same time, often accompanied by the emergence of some complications, in general, there will be two kinds of complications, with the good Church Hospital experts for you to introduce these two complications in detail.

Circulatory congestion

Due to the retention of water and sodium, blood volume up, until the incidence of pulmonary edema. There are different reports, with the severity of the illness, treatment. In China from 50 to 60s to be reported in hospitalized acute nephritis in children from 24% to 27% to see such complications, in recent years the report has been reduced to 2.4%. Occurred in the 1 ~ after the onset of acute nephritis 2 weeks. The clinical manifestations of chest tightness, shortness of breath, not supine, Cough, pulmonary rales at the end, liver tenderness, gallop left and right heart failure symptoms, due to blood volume expansion caused by the true myocardial pump exhaustion. At this time the different cardiac output often increased without reducing the cycle time, normal, arteriovenous Oxygen pressure difference was increased, and digitalis effect is poor, and the use of diuretics can often make it ease. A handful of intensive development to the real heart failure, in a few hours to 1 to 2 days Of the rapid emergence of pulmonary edema and endanger life.

Hypertensive encephalopathy

The blood pressure (especially diastolic pressure) increased sharply, the central nervous symptoms. Children than adults. This disease is ordered considered in systemic hypertension on the basis of brain resistance due to vasospasm cerebral edema caused by cerebral hypoxia; but there are also people who A substantial rise in control, highly vascular congestion, edema caused by addition of sodium and water retention in the pathogenesis of accelerated glomerulonephritis also plays a role. In the early course Of acute nephritis, generally more acute onset, manifested as severe headache, frequent nausea and vomiting, blurred vision, the vision, diplopia. Temporary blackout, and drowsiness or irritability, if none treatment treatment of convulsion, coma, a temporary hemiplegia aphasia, the Occurrence of hernia. No serious neurological signs and limitations, superficial reflex tendon reflex can weaken or Disappear, ankle clonus sometimes also appear obvious corrupting, can have serious symptoms and signs of cerebral hernia. Fundus examination of common retinal arteriolar spasm, sometimes visible papilledema. Cerebrospinal fluid pressure and protein clear, normal or slight increased. If blood pressure is More than 18.7 / 12.0kPa (140 / 90mmHg), and associated with visual impairment, seizures and coma can be one of the three the diagnosis.


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