How to distinguish acute and chronic renal failure?

The distinction between acute and chronic renal failure is clinical diagnosis, mainly according to the length of history, referring to other indicators; second, pathological diagnosis, renal biopsy pathological diagnosis is the standard for differentiating acute renal failure.

Acute renal failure symptoms rapidly deteriorated, can lead to loss of appetite, nausea, vomiting, abdominal distension, diarrhea and other serious cases can occur gastrointestinal bleeding. Acute renal failure, in addition to infection complications, due to excessive volume load. Can also have dyspnea, cough, suffocation, chest pain and other acute renal failure symptoms.

Symptoms of acute renal failure are mostly due to lack of urine and uncontrolled drinking water, resulting in excessive body fluids, hypertension and heart failure, pulmonary edema. Clinical symptoms of acute renal failure will appear disturbance of consciousness, restlessness, delirium. Pumping, coma, and other uremic encephalopathy symptoms.

The common symptoms of chronic renal failure are dysphoria, nausea, vomiting, diarrhea and gastrointestinal bleeding and other manifestations. Second, often complicated with uremic lung, uremic pleurisy. In addition, fatigue, weakness, head weight. Memory decline, often attention is not easy to focus, irritable and self-conscious discomfort, computational power and work efficiency decreased, insomnia dream and sleep law changes, with the progression of chronic renal failure, the disease gradually aggravated. There can be emotional and personality changes, orientation, dyscalculia, and insanity, as well as vision and hearing hallucinations.

Gastrointestinal symptoms are the early clinical manifestations of chronic renal failure, with the development of the disease and increasingly prominent. Lung infection is one of the leading causes of death in patients with chronic renal failure. Lung infections include pneumonia, bronchopneumonia, and bronchitis. 60% of them are Gram-negative bacilli infection, and the treatment will not develop into serious infection in time. In addition, virus, fungi, tuberculosis infection can also be seen.

Acute, chronic renal failure not only symptoms different, treatment methods are different. For acute renal failure, you can take the following treatment:

For etiological treatment, such as capacity expansion to correct prerenal factors, relieve post-renal obstruction factors, severe acute glomerulonephritis or other glomerulonephritis with hormone shock can be effective, allergic interstitial nephritis should be stopped immediately. Give antiallergic drugs and so on. In oliguria period, the quantity of liquid should be taken as the principle to correct hyperkalemia and acidosis.

Carry out dialysis therapy as soon as possible, have dehydration, clear toxin, correct electrolyte disorder and acid-base balance imbalance function, make the patient pass the difficulty of oliguria stage, monitor water strictly in polyuria stage. Electrolyte balance prevents death from dehydration and electrolyte disorders. It is important to strengthen nutrition, rest and avoid the use of nephrotoxic drugs during recovery.

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