2015年2月14日星期六

A general introduction to kidney failure

A general introduction to kidney failure
Shijiazhuang Kidney Disease Hospital
Q: I am diagnosed with kidney disease last year. Now, serum creatinine is about 7. why my case of illness worsens so quickly?
A: kidney failure is the final stage of most kidney diseases. Once the disease develops at this stage, treatment becomes very difficult. Kidney failure have two types: one is acute renal failure, the other is chronic renal failure.
Q: what are the acute renal failure?
A: acute renal failure is a clinical syndrome. During the process of acute renal failure, renal excretory function declines rapidly over several hours or days. Glomerulus filtration rate reduced to 50% of the normal level and the serum creatinine rise to 44.2umol / L daily.
Q: If oliguria is a sign of acute renal failure?
A: The main sign of renal failure renal function declines rapidly in short time: the kidney glomerulus filtration rate declines to 50% of normal or lower level at 50% level or serum creatinine rises to 44.2umol / The overnight.

Clinically, acute renal failure can be divided into three types: oliguria of acute renal failure, Non-oliguric acute renal failure, high decomposition acute renal failure. Oliguria (less than 400ml every day) and anuria (less than 100ml daily) are the main symptoms of oliguria of acute renal failure. In general, oliguria of acute renal failure have three stages: oliguria stage, stage anemia, and recovery stage. However, there are patients do not have symptoms of oliguria and anuria, but endogenous creatinine clearance declines rapidly in a short time, this type is called the non-oliguric renal failure. In addition, when the amount of urine reduced, it is better to ensure it is not caused by paralysis of the bladder.

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