Home > Emergency treatment of calculous oliguria

Emergency treatment of calculous oliguria

Written by admin | Published on 2017-09-10

  

Solitary kidney or bilateral renal obstruction due to ureteral calculi and obstruction anuria cause side contralateral renal reflex (referred to as 100ml less than daily urine urine urine every day less than 400ml called oliguria) is calculous anuria. At this point, the kidneys hardly secrete urine, accompanied by acute renal failure, uremia, and water electrolyte imbalance. Obstruction of any part of the urinary system can lead to hydronephrosis and impaired renal function. After obstruction, it is easy to complicated with infection. The latter also speeds up the development of the disease. Bilateral upper urinary tract (kidney or ureter) or unilateral ureteral obstruction in solitary kidney, renal pelvis, renal interstitial collection tube obstruction caused by increasing pressure, if timely, only minor damage, as long as the obstruction causes serious damage, can cause loss of renal function.

In the early stage of acute urinary obstruction, the swelling of the kidney is due to edema, the obstruction persists, the renal papilla is deformed, and the renal skin and medulla tissue are thinned. Renal cortical thickness is a predictor of residual renal function in patients with chronic hydronephrosis, but only in patients with chronic urinary tract obstruction. After 24 hours of calculous anuria, ureteral pressure continues to rise, more than 7.9kPa, glomerular filtration rate decreased significantly, the pressure continues to rise can be terminated by filtration. Because the metabolites in vivo can not be excreted, the clinical symptoms of renal failure appear earlier. Obstruction itself can be asymptomatic, some patients feel pain in the waist or obvious low back pain. Concurrent infection can have urinary tract infection symptoms.

Examination: ultrasound and X-ray are the first examination methods. When the diagnosis is not clear before the treatment, CT scan should be done.

Laboratory examination: we can see the increase of red blood cell in urine and mild albuminuria in some patients. The patients with urinary tract infection have the corresponding experimental quantity to check the abnormal results. When the renal failure occurs, the blood creatinine and urea nitrogen increase.

Treatment: emergency treatment to relieve or relieve obstruction and symptoms, prevent infection, restore and preserve renal function. 4~6 weeks after the obstruction, renal damage is still possible. There is inpidual difference in the recovery of renal function, but complete obstruction and infection can destroy the kidney in a few days. Therefore, emergency measures should be taken to remove the obstruction at an early date. The immediate use of non nephrotoxic antibiotics was used to monitor the amount of access and daily water and electrolyte requirements. If there are indications of renal failure dialysis, dialysis should promptly eliminate the toxic substances and water permeability in vivo accumulation, correct acidosis and electrolyte disorder. The incidence of gastrointestinal bleeding in patients with acute renal failure is about 10%, and should be actively prevented and treated.

The above is about calculous oliguria in emergency treatment in the introduction, if you have a kidney disease knowledge requires a detailed understanding, you can consult our online expert, our experts will reply as soon as possible.

Disclaimer: this article only represents the author's personal opinion, not the website. Its originality and the statement text and content without the site confirmed that for all or part of this paper and the content, the authenticity of the text, the integrity, timeliness in this website do not make any commitment or promise, please readers for reference only, and please check the related content. If you have any questions, please consult the online expert!

Tag:
Related articles
  • High creatinine’s causes, symptoms and
    High creatinine’s causes, symptoms and treatment

    Creatinine is one of the most common methods of detecting renal function. High creatinine means not only a kidney problem, but also a serious threat to human health. So whats the causes of high creatinine? What are the symptoms of high creatinine? How...

    2017-10-16

  • Why choose traditional Chinese medicine t
    Why choose traditional Chinese medicine treatment

    Many foreign patients give up the treatment of Western medicine came to China for treatment, why? Western medicine treatment of a variety of nephritis, kidney disease, nephrotic syndrome, use of hormone therapy, but the hormone on the condi...

    2016-12-15

  • Diet treatment for chronic kidney disease
    Diet treatment for chronic kidney disease

    Chronic kidney disease is a tough disease, the pathogenesis is complex, and the diagnosis is difficult. How can we treat it? Now lets have the experts explain the diet treatment of chronic kidney disease for us! Chronic kidney disease (CKD)...

    2017-07-23

  • Does it require nephrectomy in renal cyst
    Does it require nephrectomy in renal cyst treatment?

    If you ask people what kidney cysts are, many people will immediately think of such miserable sight that when it attacks the patient. So, do you need to remove the kidneys if you have a kidney cyst? Once you have a kidney cyst, you want to...

    2017-09-08

  • 1.expert depth interpretation of the "t
    1.expert depth interpretation of the "three treatment and seven nourishing" in the meaning of kidney disease!

    From the level of medical technology now to patients through one or two kinds of drug eradication nephropathy is very difficult, even if some urine is completely normal, but also can not be said to have been radical nephropathy, will not re...

    2017-08-06

  • The symptoms,diet and causes of renal atr
    The symptoms,diet and causes of renal atrophy

    Renal atrophy is related to the renal volume,Kidney size,renal function,and age of people, gender height and weight of the body, relatively small and significantly narrowing kidney is the abnormal phenomenon. The long-term kidney disease can cause n...

    2017-10-25

  • What is the focus of treatment in patient
    What is the focus of treatment in patients with renal failure

    we should know that if you suffer from renal failure, then the patients kidney will face the threat of failure, so that patients are likely to be life-threatening. Patients need to pay attention to what the focus of clinical treatment 1, we...

    2017-03-13

  • Kidney disease is more and more serious?
    Kidney disease is more and more serious? Do you also make the mistake of these treatment?

    It can be said that modern man call of kidney disease is a general concept. As long as it is kidney problems can be called a kidney disease. According to 2016 data, the prevalence of chronic kidney disease (CKD) in adults in China reached 1...

    2017-04-27

  • What are the characteristics of the treat
    What are the characteristics of the treatment of pediatric nephropathy?

    Pediatric nephropathy, the initial cure rate can reach 80%, but because the child is in the growth stage, its treatment has many particularity. What are the characteristics of the treatment of pediatric nephropathy? Lets take a look. 1, The...

    2017-06-01

  • What is the natural treatment for kidney
    What is the natural treatment for kidney infection?

    General kidney infection secondary to lower urinary tract infection, because the blood supply of renal rich and flushing effect of urine, normal kidney has a strong resistance to infection, urinary tract infection and most asymptomatic bact...

    2017-08-21

  • The main treatment methods of nephrotic s
    The main treatment methods of nephrotic syndrome

    Patients with nephrotic syndrome should be treated in time, do not delay the disease. There are many treatment methods for nephrotic syndrome. What are the main treatment methods of nephrotic syndrome today?. Drug therapy: This is the most...

    2017-09-01

  • Kidney disease treatment: colds can not b
    Kidney disease treatment: colds can not be underestimated

    Many people think that cold is a very mild disease, just leave it without any treatment, do not have to pay attention, do you think so? Colds is probably fatal to patients with kidney disease. What is the impact of a cold on patients with k...

    2017-11-22

  • Treatment of uveitis syndrome with tubulo
    Treatment of uveitis syndrome with tubulointerstitial nephritis

    Tubulointerstitial nephritis uveitis syndrome common in women, children and adolescents more common, but also seen in adults, all ages can be disease. Patients with non - specific prodrome before onset , such as hypodynamia , anorexia , nau...

    2018-01-02

  • Do you know the common treatment for rena
    Do you know the common treatment for renal failure?

    With the development of society, we all know that there are many ways to treat kidney failure, but people are not clear about it. So, do you know what is the common treatment for kidney failure? Method one: Treatment measures for degrading...

    2018-01-06

  • The causes and treatments of polycystic k
    The causes and treatments of polycystic kidney disease

    Causes Polycystic kidney disease (PKD) is a typical hereditary kidney disease. If one of the parents has PKD, the probability of child to catch such disease is 50 %( the incidence for boys and girls are equal). PKD is autosomal dominant tra...

    2013-12-03

  • Procedures for Patients to Receive Treatm
    Procedures for Patients to Receive Treatment in Beijing tongshantang Hospital of traditional Chinese Medicine

    Preparations before coming to our hospital 1.If you have made the final decision to receive treatment in our hospital, please contact our consultation department at first time. And you also need to send patients medical reports and passport...

    2017-09-13

  • Early prevention and treatment of Diabeti
    Early prevention and treatment of Diabetic nephropathy

    Diabetic nephropathy is one of the most common serious complications of diabetes, which is a serious disease of kidney. If not treated in time, it will endanger life. At present, the main basis for the early diagnosis of diabetic nephropath...

    2017-01-20

  • Treatment of renal failure mainly include
    Treatment of renal failure mainly includes treatment of what aspects?

    Since it is well known that chronic renal failure is a chronic disease, according to the clinical renal damage degree of the chronic renal failure often is pided into four periods: the stage renal compensatory, nitrogen qualitative hematic d...

    2017-05-25

  • Mary's Diabetes Kidney Disease Treatment
    Mary's Diabetes Kidney Disease Treatment Tour

    Mary,who is the patient with diabetic nephropathy from Philippines, after our characteristics of Chinese medicine treatment , the disease has improved significantly, and the complexion has also recovered very well, she is very satisfied wit...

    2017-08-04

  • In treatment of Chronic renal failure sho
    In treatment of Chronic renal failure should pay attention to control hypertension

    Chronic renal failure is a disease that is not obvious at the beginning of the disease, the slow onset of a disease, waiting for people to discover when the general have been to the middle or end, which to the treatment of the disease and t...

    2017-09-21

Contact Us






�����壿�����
Popular articles
Popular video