Patients with Lupus Nephritis and Renal Hypertension: What should They Do
2014-06-09 18:20
Patients with Lupus Nephritis and Renal Hypertension: what should they do ?
Name : li fang
Gender : female,
Age : 42
City : China Shijiazhuang
Disease Reasons : intermittent joint pain, fever associated with systemic skin rashes for 7 years, anasarca 2 months. In July 21, 2013, 17:00 admitted to our hospital for the first time. On admission by a wheelchair into the ward, poor in diet and sleep, with nausea, vomiting and severe edema, abdominal bulge, blood pressure was 180/120 MMHG, weight 59.8 kg.
According to the relevant test results after admission, diagnosis is systemic lupus erythematosus (sle) With lupus nephritis (V + IV), renal anemia and Renal hypertension.
Treatment: continue to take hypotensive drugs, protecting gastric mucosa drugs, hormone prednisone acetate tablets mg1 30 times/early, infusion 13 days increase plasma colloid osmotic pressure, cefuroxime Sammy diuretic, three plasma exchange to remove the body antibody and inflammatory factor, put Chinese herbal medicine hot I package on double kidney 2 times/min, at the same time take some medicines to improve the body immunity.
Curative effect compare the hospital treatment in 20 days
on admission Treatment in 20 days
Hemoglobin 89g/L 96g/L
Red blood cell count 2.90×1012/L 3.09×1012/L
Urine protein 3+ 3+
Occult blood 1+ -
R-WBC 4-7/HPF 0-2/HPF
RBCJ 2-3/HPF 0-1/HPF
hyaline cast 23/LPF vanish
TP(total protein) 39.8g/L 43.8g/L
Albumin 19g/L 25g/L
Blood pressure 180/120mmHg 130/90mmHg
Appetite Good Poor
Edema The whole body severe edema Double leg edema disappeared
Effusion in abdominal cavity mass vanish
Double lung breath sounds low clearness
Abdominal bulge flat
2014.1.3 day review: 24 hours urinary protein quantitative: 1.05 g / 24 h
Creatinine : 115 umol/L
Hemoglobin: 130 g/L
If you want to know more about Lupus Nephritis and Renal Hypertension, you can email us. Our email: kidneyservice@hotmail.com
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Tag: Lupus Nephritis Treatment Renal Hypertension
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