How to understand a child suffering from renal failure, it is not there ? Renal failure as a child of the patient does not have any performance ? We all know a child 's body resistance to disease is not as good as adults , so if no well protected, is let the disease there is a gap can be drilled , thereby affecting the health of a child is a child not benefit from the growth , then , you want to show as early as early treatment, patients with kidney failure is not the same period a child has what performance?
Renal failure is a manifestation of renal function after injury gradually reduce , if no hurry to control and heal , it is very fast it will develop into renal failure uremia high creatinine , this time a little bit of loss of kidney function , the body becomes burden. The human body has two kidneys , one kidney is usually on the feet to maintain normal functioning of the human body , so in the early stages of kidney failure , usually without any performance to warn the patient's kidneys no method of working. When complete loss of kidney function has been close , the body changes and the performance of the patient's disease will be very obvious. Renal failure patient's symptoms will be different.
A child is not the same kidney failure patients on renal manifestations :
1, there are pre- renal , renal parenchymal renal diseases , such as after the onset of the original reasons for the rapid onset ;
2 , oliguria : Continuing 3-14 days or longer , described as the following situations:
( 1 ) Clinical to no urine or oliguria is characterized by daily urine output of less than one hour urine output of less than 250ml or 10ml of oliguria, daily urine output of less than 50ml is no urine ;
( 2 ) the performance of azotemia and acidosis : weakness, mental apathy , lethargy , irritability , anorexia, vomiting, nausea and breathing deep , serious patients showed anemia, hiccups, mouth ulcers, gastrointestinal bleeding , coma and convulsions , etc. ;
( 3 ) hyperkalemia : potassium if more than 7,0 mmol / L, can be life threatening , slow heart rate , heart rate imbalances , low heart sound blunt or even arrest ; electrocardiogram showed peaked T waves , QRS widening wave , P -wave flat wide.
( 4 ) high blood pressure , pulmonary edema and cardiac performance decline : dyspnea , cyanosis , rapid heart rate , cardiac enlargement , low heart sound blunt , there is fine moist rales lungs , brain edema may have consciousness, coma , convulsions , etc. ;
( 5) The specific gravity is fixed at 1,010 , there is protein , red blood cells, granular casts urine ;
( 6 ) serum creatinine , phosphorus increased, blood calcium decreased , and some can show hands tetany disease.
3 , polyuria period :
( 1 ) oliguria polyuria in the first or second week of the first weekend , the urine in a few days 400-600ml / d, part of a more moderate increase in severe cases of urine ;
? ( 2 ) large羐 discharged a short time each day may be more than 3000ml) and the electrolyte can exhibit rapid dehydration and hypokalemia , hyponatremia phenomenon ;
( 3 ) 5-7 days after the urine gradually returned to normal, but renal concentration difference ;
( 4 ) You can see most of the urine tube and white blood cells, red blood cells and a small part of the protein ;
( 5 ) blood urea nitrogen (BUN) or NPN decreased slowly ;
( 6 ) may predispose to infection.
4 , recovery : normal daily urine output , creatinine uremia high performance gradually disappeared, normal blood biochemical tests , renal function and proteinuria PRO take longer time to recover.
