Can puncture treat nephrotic syndrome?
Nephrotic syndrome known as kidney disease, many patients and their families are concerned about the treatment of nephrotic syndrome, there are many ways to the treatment of nephrotic syndrome can puncture in the treatment of nephrotic syndrome?Renal biopsy and renal wear for short, is the only way to kidney pathological diagnosis.Is under ultrasound guidance, by the doctor in the left rear ribs below 12 percutaneous or surgical incision into a special design of the needle, cut out a small piece of renal tissue pathologic examination, if kidney transplant patients, to take parts left or right side of the abdomen.Renal biopsy is traumatic, but little damage to the kidney.But some of the symptoms of kidney wear may occur once or complications, such as:
Hematuria: almost 100% incidence of microscopic haematuria, often in postoperative 1 to 5 days disappear, not processing.Rare bleeding in patients with severe, or infusion, blood transfusion monitoring blood pressure and hemoglobin.If still unable to maintain blood pressure after rescue, should consider to do selective renal arteriography, in order to make clear bleeding, and decided to use artery embolization, or surgery.Low incidence of infection, infection, much as aseptic measures is lax, renal week existing infection or pyelonephritis be caused by, such as fever, intense back pain and increased white blood cells need antibiotics.The incidence of renal hematoma: zhou zhou hematoma, about 60-90%, generally small, asymptomatic, absorbed in 1 to 2 weeks.Larger hematoma is a rare, tear or wear to large and medium-sized vessels especially for kidney artery, puncture in more day, the performance of abdominal pain, waist pain, tenderness, or a wound puncture on side a bit of peng, piercing the lateral abdominal tenderness and bounce painful, serious when blood pressure drops, red blood cell pressure drop, do B to exceed or X-ray can be further confirmed, generally take the conservative treatment, if bleeding, but surgical treatment.
Damage other organs: because of improper puncture points or more needle into a deep injury of organs, severe cases need surgery.Incidence of arteriovenous fistula: 15-19%, most patients have no symptoms.Typical performance for serious hematuria and/or renal hematoma, zhou resistant hypertension, progressive heart failure and waist abdominal vascular murmur.Diagnosis of renal angiography, most heal in 3 to 30 months, serious operation in a timely manner.Incidence of low back pain: about 17-60%, more than a week.(7) : the death rate of 0-0.1%, because of serious bleeding, infection, organ damage or other system complication to death.
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