Uremia is a general term for a series of poisoning symptoms in the late stage of renal failure. This fully developed renal fibrosis stage, kidney function loss, patients with severe anemia, hypertension, edema and other symptoms, blood urea nitrogen, creatinine and toxin content increased significantly, there will be a serious heart, brain, lung and other organ complications, strict severe mental disorders, heart failure, severe coma the situation, endanger life. Western medicine thinks the patients only received dialysis treatment or kidney transplantation to the corner.
In the past, uremia was an incurable disease. Since 80s of this century, the traditional Chinese medicine, such as detoxification therapy, dialysis methods and renal transplantation, have been carried out to prolong the life of uremic patients. Dialysis therapy is an important method for emergency treatment of uremia, but it can not be used as a simple treatment method in the clinical treatment of uremia, otherwise it will eventually lead to complete failure of renal function. Dialysis is pided into two kinds of hemodialysis and peritoneal dialysis. Strictly speaking, the two therapies have no absolute contraindication, and the clinical generally choose the dialysis mode from the aspects of the patient's condition, economic conditions and medical equipment. Dialysis indications for common diseases are as follows:
Acute renal failure with little or no urine more than 24 ~ 48 hours, and then the dialysis meet the following conditions: (1) blood urea nitrogen more than 21.4mmol/L or 9mmol/L rises every day; (2) serum creatinine was 442 mmol/L; (3) serum potassium 6.5mmol/L or hyperkalemia ECG performance; (4) HCO3 < 15mmol/L; (5) were nausea and vomiting, lethargy, irritability, mild pulmonary edema or disturbance of consciousness; (6) the error caused by blood transfusion or other causes of hemolysis, free hemoglobin, 12.4mmol/L.
In the following cases shall be carried out emergency dialysis: (1) serum potassium is more than or equal to 7mmol/L; (2) carbon dioxide combining power less than 15mmol/L (3) PH < 7.25; (4) blood urea nitrogen is greater than or equal to 54mmol/L; (5) serum creatinine was 884 mmol/L; (6) acute pulmonary edema.
Chronic renal failure complicated with severe hypertension, diabetes, systemic lupus erythematosus or elderly patients, creatinine clearance rate was more than 10ml/min that is supposed to start dialysis, dialysis can reduce the incidence and mortality of early complications in long-term hemodialysis. The condition of chronic renal failure treated by dialysis is complicated. It is better to find a professional doctor.
Long term dialysis will be only two kidney transplant waste, finally. The primary disease in renal transplant recipients with chronic glomerulonephritis was the most, followed by chronic pyelonep
hritis and cystic kidney disease, in recent years, the number of patients who underwent renal transplantation significantly increased in uremic patients with hypertensive nephropathy and lupus nephropathy induced by renal transplantation is also acceptable.
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