Renal failure is the development of a variety of chronic kidney disease to
kidney function caused by late or part of a pathological state of all the loss.
Progression of renal failure can be divided into acute renal failure and chronic
renal failure, acute renal failure quickly, usually caused by inadequate blood
supply of the kidneys (such as trauma or burns), kidney function due to some
factors that cause damage or obstruction by poison injury, acute renal failure
caused by generation. The main reason for the long-term chronic renal failure
kidney disease, along with the time and the disease, decreased kidney function,
resulting in renal failure.
1. Acute renal failure
Rapid progression of acute renal failure, renal blood flow is usually due to
insufficient supply (such as scratches or burns), renal obstruction due to some
factors that cause functional impairment or hurt by poison, causing acute renal
failure generation.
2. Chronic renal failure
Chronic renal failure refers to the slowly progressive renal damage caused by
a variety of kidney disease eventually lead to a complete loss of uremia and
renal function, causing a series of clinical symptoms and biochemical
composition of endocrine metabolic disorders such as clinical syndrome from
primary disease onset to begin with renal insufficiency, the interval can be
several years to ten years.
Cause of disease
1. Acute renal failure
Usually caused by insufficient blood supply of the kidneys (such as scratches
or burns), renal obstruction due to some factors that cause functional
impairment or hurt by poison, causing acute renal failure generation.
2. Chronic renal failure
Because long-term kidney disease, along with the time and the disease,
decreased kidney function, resulting in renal failure.
Clinical manifestations
1. oliguria
The most critical stage of the disease, a serious disturbance in the
environment. Patients may oliguria (<400ml / day) or no urine (<100ml /
day), low urine specific gravity (1.010 ~ 1.020), urinary sodium, hematuria,
proteinuria, tubular urine. Water intoxication can occur in patients with severe
hyperkalemia (often do this on the cause of death), metabolic acidosis (can
promote hyperkalemia occurred) and azotemia (progressive increase can occur
uremia), etc. endanger the lives of patients. This period of a few days to a few
weeks, the longer the duration, the worse the prognosis.
2. polyuria
After increasing urine oliguria, when daily urine output of more than 500ml,
enter polyuria. Since then, the daily urine output doubled, the highest daily
urine 3000-6000ml, even up 10000ml more. In the initial period polyuria, urine
output, although increased, but the renal clearance rate is still low, the
accumulation of metabolites still exists. About 4 to 5 days, serum urea
nitrogen, creatinine and decreased with increased urine output, along with
improvement in symptoms of uremia. Potassium, sodium, chloride and other
electrolytes in the urine may lead to a large number of discharged electrolyte
imbalance or dehydration, should pay attention to the peak stage of oliguria may
change as hypokalemia. This period lasts 1 to 2 weeks.
3. recovery
Urine gradually returned to normal, 3 to 12 months, the gradual recovery of
renal function, renal function in most patients recovered to normal levels, only
a minority of patients with chronic renal failure.
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