2014年2月7日星期五

Primary glomerulonephritis - clinical symptoms

Chronic nephritis is the cause of diversity, different pathological , and clinical manifestations similar to a group of glomerular diseases , their common manifestations are edema , hypertension and urinary abnormalities .
 ( 1 ) edema: Throughout the course of the disease , most patients will have varying degrees of edema. Edema can be light weight , light only after the morning found around the eyes , facial swelling or ankle edema of both lower extremities afternoon . Patients with severe , generalized edema can occur . However, there are very few patients throughout the course of the disease is not always edema, often easily overlooked .
 ( 2 ) Hypertension: Some patients are hypertension symptoms to hospital for treatment , the doctor should test their urine after , know that this is caused by elevated blood pressure and chronic nephritis . Chronic nephritis patients, the incidence of hypertension is a process sooner or later , their blood pressure can be persistent , you can also intermittent , and diastolic blood pressure ( greater than 12.7kPa) is characterized by high blood pressure there is a large degree of individual variation , the light only 18.7-21.3/12.7-13.3kPa, severe cases can even exceed 26.7/14.7kPa.
 ( 3 ) urinary abnormalities : urinary abnormalities in patients with chronic nephritis must be almost the phenomenon , including changes and microscopic examination of urine abnormalities . Patients with edema occur decreased urine output, and the more severe edema , decreased urine output , the more obvious the majority of patients with normal urine output without edema . When patients suffer severe kidney damage , urinary concentrating one - diluted feature obstacles, there will be an increase in volume and specific gravity decreased nocturnal phenomenon . The urine of patients with chronic nephritis put under the microscope , you can find almost all the patients had proteinuria, urinary protein content ranging from (±) to ( + + + + ) . Urine can be seen in varying degrees of red blood cells , white blood cells , granular casts , transparent tube. When the acute attack , may have significant hematuria , or even gross hematuria . In addition, patients with chronic nephritis will appear dizziness , insomnia, anorexia Shenpi , intolerant fatigue, varying degrees of clinical symptoms of anemia.

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