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Dietary guidelines for patients with nephrotic syndrome

2017-06-08 16:11

Renal function tests: the frequent items are urea nitrogen (BUN) and creatinine (SCR), which is one of the frequently used items to understand whether renal function is impaired or not.

People often consult nephrotic syndrome, what indicators need to be done, the following specific list, for reference:

(1) in the case of nephrotic syndrome, the examination is usually done for the purpose of definite diagnosis:

Urine routine examination: through urine protein qualitative analysis, urine sediment microscopy, we can determine whether there is glomerular lesion.

24 hours urine protein quantification: nephrotic syndrome patients 24 hours urine protein quantitative more than 3, 5g is the necessary condition for diagnosis.

Determination of plasma protein: nephrotic syndrome, plasma albumin lower than 30g is a prerequisite for diagnosis.

Blood lipid determination: nephrotic syndrome patients often have lipid metabolism disorder, blood lipids rise.

(2) in order to understand whether the renal function is impaired or damaged in nephrotic syndrome, we should further clarify the diagnosis and differential diagnosis, guide the formulation of treatment plans, estimate the prognosis, and make the following examinations according to the specific conditions:

Renal function test: the frequently performed items are urea nitrogen (BUN) and creatinine (SCR), which is one of the frequently used items for understanding the impairment of renal function and its extent.

Electrolyte and CO2 binding force (co2-cp) determination: used to understand whether there is electrolyte disturbance and acid-base imbalance, so as to correct in time.

Blood rheology examination: the blood of patients with nephrotic syndrome is often in hypercoagulable state, and the blood viscosity increases. This examination will help to understand the situation.

The following items can be selected according to the needs of examination: serum complement, serum immunoglobulin, selective proteinuria index, urine protein polyacrylamide gel electrophoresis, urinary C3 and fibrin degradation products (FDP), anti renal antibody urine enzyme, serum and renal biopsy.

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