How to distinguish between acute and chronic renal failure ?

  
  Renal failure can be divided into acute renal failure and chronic renal failure, then how to distinguish between acute and chronic renal failure is how to distinguish ? Answer this question , I think , is that many kidney failure patients want to know , then address this question , the following is an expert in for the " acute and chronic renal failure is how to distinguish between " gives analysis and explain, in detail as follows :
  Acute and chronic renal failure distinction , one clinical diagnosis , mainly based on the length of illness records , reference to other indicators ; Second, the pathogenesis of the diagnosis, pathogenesis of renal biopsy diagnosis is to identify two of the patient's standard, but with the current national emergency biopsy hospital conditions is not common. Therefore , the selection and evaluation of the clinical identification of two patients with noninvasive indicator is extremely focused . The clinical data of 100 patients with renal failure patients were analyzed , the results showed :
  1, the duration of the disease is to distinguish between acute and chronic renal failure basis . 50 patients with chronic renal failure as much as half a foot of disease not years, of which one-third more acute onset of disease less than three months. So, as a conclusion based on the length of disease , especially chronic renal failure not reliable. Statistics show that the higher the diagnosis change after biopsy ratio.
  2 , has become popular with the current domestic "B" super measure kidney size . Generally considered kidney volume increased in acute renal failure, renal smaller size seen in chronic renal failure . Our data suggest that either acute or chronic renal failure, kidney real increases or decreases each only one-third of patients , the vast majority of cases the size of a normal kidney , which some people use B- measuring kidney size on acute and chronic kidney failure identification no help. Recently exhibit "B" super measured over the measured thickness of renal parenchymal volume size is more meaningful .
  3 , nails creatinine measurement is a noninvasive, simple screening method , which measures the value of serum creatinine reaction three months ago . For insidious onset or illness records is unknown, the size of a normal kidney patient , nail creatinine measurements can recognize three months ago kidney function, and its specificity was 84% , as more than make up for the two materials.
  4 , anemia is one of the symptoms of chronic renal failure , acute renal failure as one of the identification points with chronic renal failure , no significant difference in the analysis of 100 cases of acute renal failure and chronic renal failure patients , anemia detection rate and severity . Additionally , hemolytic uremic syndrome, caused by high creatinine acute renal failure may exhibit severe anemia , acute renal failure, acute dilatation may cause mild to moderate anemia. Due to acute interstitial nephritis erythropoietin hormone produced lower acute nephritis also be expressed as anemia.
  5 , urine increased, lower specific gravity is a symptom of chronic renal failure. Half of the cases of acute renal failure urine specific gravity less than 1.015 , biopsy cells are noticeably tubulointerstitial lesions, this phenomenon is explained by lower specific gravity of acute renal failure .

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