Patient: Liu Xiang, male, 54 years old, married, Shanghai, Pudong
Diagnosis: diabetic nephropathy
Chief complaint: abnormal urine for more than 30 years, polydipsia, polyuria, polyphagia and weight loss in 6 years, 3 years increased foam in urine, serum creatinine increased 7 more than a month of hospitalization.
Pre hospital treatment: gross hematuria occurred 30 years ago due to diarrhea, abdominal pain, fever, to wash the meat color. Visit a local three hospitals, urine routine test 3+, protein 2+, red blood cells full field of vision, diagnosed as acute glomerulonephritis, given dexamethasone static point 20 Yu Tian, poor treatment effect. In many hospitals for treatment, occult blood fluctuations in the "-" ~ "3+" protein "-" to "2+", a year after giving up treatment did not review.
13 years ago, when the physical examination found high blood pressure, up to 220/120mmHg, giving Kato Pury, heartache and other drug treatment, poor blood pressure control, there are repeated. 7 months ago, cold diarrhea again referred to a local hospital, check the urine occult blood 2+, 2+ protein, renal function, creatinine 350umol/L blood urea nitrogen 22mmol/L, renal ultrasound showed: left renal 9.5*5.0*4.6cm, right kidney 10.3*6.2*4.8cm, after one month of treatment effect and treatment in General Hospital of Nanjing Military Region, given Bailing Capsule "and" Aprovel "," heartache "and" sodium bicarbonate "oral drug after three months of renal creatinine 419.2umol/L blood urea nitrogen 24.19mmol/L. In order to further diagnosis and treatment are attracted to our hospital, diagnosed as chronic glomerulonephritis, chronic renal insufficiency decompensation.
After admission: admission in patients with pruritus and dry skin, urine occult blood 2+, protein 3+, 432umol/L urea nitrogen 25.12mmol/L creatinine, blood pressure, 210/100mmHg, were treated with micro Chinese medicine osmotherapy combined with western medicine treatment.
After admission treatment: 25 days after admission, blood pressure control in 130~115/80~70mmHg (only a certain amount of oral antihypertensive drugs). The whole body pruritus and dry symptoms disappeared, the whole body fatigue was significantly reduced than before. Urine color deepened, urine flavor increased. Renal function creatinine 220umol/L, urea nitrogen 10mmol/L.
Comment: chronic glomerulonephritis is a common disease, with its incidence gradually increased, it has improved, in patients with chronic glomerulonephritis as the disease can not be controlled, sooner or later will be developed into uremia, and nephritis patients once in chronic renal insufficiency stage. Western medicine treatment can delay the time of dialysis or kidney transplantation, and can not fundamentally repair damaged kidney.
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