2014年5月8日星期四

Renal uremia concealment

After learning of the patients or their families suffering from kidney disease or uremia treatment , the most common sentence is: " ? Urine also so much, so clear , how it might be kidney problems " Actually urine, but clean water is deteriorating kidney Police , like the symptoms of uremia are often "non-specific " and not particularly easy to detect, it quietly threatens the human body, and therefore called it " invisible killer" is really worthy of the name .

Case I : Sun, aged 30, about ten years history of hypertension , long-term use of various types of antihypertensive drugs , blood pressure remains high 190/100mmhg, and therefore has all the physical ailments attributed to high blood pressure , until one day due to pulmonary edema admitted to the ICU , after a blood test was " suddenly " discovered renal function has come to the point where uremia .

Case II : Wang , 28 years old , Peking University Dr. , home during the winter due to sudden asthma , vomiting, and sent me to hospital for treatment , after blood tests found that ten times or more higher than normal creatinine index , and then the kidneys b ultra- scan found that kidneys are withering , determined to chronic kidney disease , we must accept the " uremic Hope" series treatment. Wang last couple of years due to occasional nausea , vomiting and other symptoms continue consultation on gastroenterology, now how can not be physical discomfort and " kidney disease " Lenovo together , it is difficult to accept the doctor's diagnosis of a sudden .

Case 3 : Miss Long , aged 40, began two years ago, the situation of irregular menstruation , when blood has been uneven , and often feel mild fatigue , patients in obstetrics and gynecology at once blood tests before the "accident" that he was suffering from uremia.

Case 4 : Mr. Wang , aged 56 , had chest pain in the past , a history of gastrointestinal bleeding , a result of a serious and persistent upper gastrointestinal bleeding and send an emergency, doctors give endoscopic electrocautery still can not stop the bleeding disposal until the blood check with uremia learned it by giving emergency " uremic spirit" in hemodialysis treatment , upper gastrointestinal bleeding before it was eased.

Case Five: Mr. Liu , 60 years old , diabetic, suddenly felt pain due to an emergency left back , was initially suspected kidney stones, I first give pain injections and hospital developer ( for urography ) , and subsequently admitted to the hospital , only to the next day the patient suddenly chest tightness , wheezing, upon inspection found it had been weakened kidney function applied to ease the pain and developer after playing more as worse, remaining 10% ( suffering from acute renal failure ) , dialysis and must take " immediate uremic spirit "series.

Case Six: Miss Lee , aged 18 , due to sudden cramps , coma and hospital emergency , after blood tests found to be suffering from uremia , family members said she had no abnormal physical weekdays , but often complain that school spirit is not easy to focus , easy tired , family thought she was just looking for an excuse to be lazy , never thought had uremia .

Comprehensive six cases above , we find that , regardless of the patients themselves or their families , in that suffering from uremia , have even started dialysis treatment, the first reaction is " how may " , "is not mistaken ." ; fact, these reactions are displayed uremia imperceptible and difficult to find, and not pay attention to the physical condition of the patient can not be blamed .

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