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Clinical manifestations of three kinds of ARF

2016-12-30 09:12
ARF is an acute renal failure, the disease is more critical, but there are three types of acute renal failure, which also increases the difficulty of the treatment of the disease. It is necessary to find out the differences between the three different manifestations of ARF.
The clinical manifestations of acute renal failure (ARF) can be classified into three types:
(1) the urinary ARF is characterized by less urine (less than 400ml/ days) or no urine (less than lOOml/ days), which is generally followed by oliguria (or no urine), polyuria and recovery of the three clinical stages. Oliguria period usually lasts 3 days ranging from -1 months, an average of about 10 days or so, mainly for the less urine:
Retention of water and sodium: performance of systemic edema. Higher blood pressure. Pulmonary edema, cerebral edema and heart failure are the main risk factors leading to death;
The electrolyte disorder: including hyperkalemia, hyponatremia, hypocalcemia and hyperphosphatemia; hyperkalemia is oliguria first cause of death;
Symptoms of renal failure, which can be seen in the urine after entering the urine volume of up to 3000 to 5000mL per day, serum urea nitrogen, creatinine gradually decreased, uremia symptoms gradually subsided. Polyuria due to a large number of water and electrolyte discharge, dehydration, hypokalemia, hyponatremia, etc., if not promptly added, patients can die of dehydration and electrolyte disorders. Enter the recovery period after the serum urea nitrogen and creatinine levels returned to normal, renal tubular epithelial cell regeneration and repair, the renal function recovered completely in about half a year to 1 years, a small number of patients can have varying degrees of renal impairment.
(2) the clinical manifestations of non oliguric part of ARF patients without oliguria or anuria, only for a short period of time the creatinine clearance rate decreased rapidly, decrease of the normal value below 50%, serum urea nitrogen and creatinine increased, serum creatinine increased daily rate of more than 44-88mmol/L, this type is not small urinary type ARF, the clinical manifestations are relatively mild, often misdiagnosed.
External manifestations of women with poor renal function
So what are the manifestations of a woman with poor renal function?
Aversion to cold cold and afraid: refers to the feeling of the wind. "Limb cold" refers to the extremities of the cold hands and feet, and even cold to elbow, knee symptoms. "Aversion to cold" are often accompanied by the waist and knee pain, God tired of lying, less gas lazy words, such as kidney disease and mouth thirsty.
Constipation: constipation are often due to difficult defecation anal fissure, hemorrhoids and other symptoms appear, the impact of the work, life, suffering. Although conduction dysfunction constipation belongs to the large intestine, but the root cause is due to kidney deficiency, because kidney opens into the two Yin, two, stool conduction must pass kidney excitation and nourishing function.
Backache leg pain, frequent urination: long time stiff constantly sitting in the car, and drove the spirit of tension, in the course of time the formation of blood stasis and eventually lead to kidney deficiency.
Dizziness and tinnitus: a lot of people have experienced the feeling of dizziness, dizzy, nausea and vomiting, eye color taste and feel good, and often accompanied by the sound of patients with dizziness tinnitus, interfere with hearing, go down for a long time, even lead to deafness. The cause of dizziness and tinnitus is related to liver and kidney. The Chinese medicine "kidney essence marrow, marrow and brain together", so the kidney can cause brain marrow deficiencies, malnutrition, dizziness, tinnitus.
Dizzy and weak insomnia: an important organ of human body as kidney nourishing and warming with other organs, if other organs after a long illness, it is easy to hurt the kidney. Many chronic diseases such as chronic hepatitis, coronary heart disease, bronchial asthma, hypertension and other patients, often accompanied by symptoms of kidney deficiency.
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