Some people find themselves in an abnormal condition and suspect that they have nephrotic syndrome. In order to diagnose the disease as soon as possible, it is necessary to do a professional examination. What should I do when I check for nephrotic syndrome? Only with the help of professional inspection, in order to draw the most correct conclusion, so as to carry out the next treatment. Here we come to see a series of tests for diagnosing nephrotic syndrome so as to increase our understanding.
In the case of nephrotic syndrome, the diagnosis of nephrotic syndrome is usually performed for the purpose of definite diagnosis: ① urine routine examination. ② 24 hours urine protein quantitative: nephrotic syndrome in patients with 24-hour urine protein quantitative more than 3.5g is a prerequisite for diagnosis. ③ plasma protein determination: nephrotic syndrome, plasma albumin less than 30g is a necessary condition for diagnosis. ④ lipid determination: nephrotic syndrome patients often lipid metabolism disorders, elevated blood lipids.
In order to understand the nephrotic syndrome kidney function is damaged or damage degree, to further clarify the diagnosis and differential diagnosis of nephrotic syndrome, guiding therapy, prognosis, according to the actual circumstances of renal function examination: ① do project for urea nitrogen (BUN), creatinine (Scr), this is one of the the frequently used items for understanding the impairment of renal function and its extent. ②Electrolyte and CO2 binding force (CO2-CP) determination: used to understand whether there is electrolyte disturbance and acid-base imbalance, so as to correct in time.
There are some checks need to do: ③ hemorheology examination: In patients with nephrotic syndrome, the blood is often hypercoagulable and blood viscosity increases. This check helps to understand the situation. ④ Check the following items can be selected according to need: serum complement, serum immunoglobulin, selective proteinuria index, urine protein polyacrylamide gel electrophoresis, urinary C3 and fibrin degradation products (FDP), anti renal antibody urine enzyme, serum and renal biopsy.
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