To know whether he was suffering from hypertension, kidney disease, we must
first know what is hypertensive nephropathy. What is hypertensive nephropathy
it? Benign arteriolar nephrosclerosis caused by essential hypertension (high
blood pressure, also known as renal arteriosclerosis) and malignant renal
arteries harden, and accompanied by the appropriate clinical manifestations of
the disease is called hypertensive nephropathy. Determine if they are suffering
from hypertensive nephropathy three basis:
1, from their own history and symptoms
If patients between the ages of four or five years old, there are more than 5
years history of hypertension, nocturia more, the individual will appear
proteinuria, some patients due to broken capillaries occur hematuria relatively
short time, but do not have back pain Compare prone hypertensive nephropathy.
Patients with arteriosclerotic retinopathy, left ventricular hypertrophy,
coronary heart disease, heart failure, cerebral arteriosclerosis, and (or) the
history of cerebrovascular accident. Slow progression, gradually developed into
a small part of renal failure, most perennial mild renal impairment and abnormal
urine. Malignant hypertension than diastolic blood pressure need 16Kpa
(120mmHg), accompanied by significant and rapid development of cardiovascular
and cerebrovascular complications, proteinuria, often accompanied by hematuria,
renal function decline.
2, found from the physical examination.
If the patient's blood pressure was sustained increase (20.0 / 13Kpa, 150 /
100mmHg above), eyelid or lower extremity edema, diagnostic arteriosclerotic
retinopathy, are likely to suffer from hypertension, nephropathy.
3, from the routine inspection found
For example: patients with mild to moderate proteinuria, 24 hours more
quantitative in 1.5 ~ 2.0g; hematuria; early serum uric acid; renal tubular
dysfunction in glomerular function more than the first damage. In imaging the
kidney, renal failure can occur when different degrees of renal narrow, early
detection appears radionuclide renal damage; electrocardiographic left
ventricular often prompts high voltage; chest X-ray or echocardiogram often
prompts main atherosclerosis, left ventricular hypertrophy or enlarged.
Diagnosis is suffering from hypertensive nephropathy in addition to the above
three points, there are other diagnostic methods, not described in detail here,
if you want to learn more about this, please consult the online experts for your
detailed answers.
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