Do Patients with Purpura Nephritis Need renal puncture

2014-04-09 16:02

Purpura Nephritis is a kidney disease caused by purpura which is a disease of the skin and other organs that most commonly affects children. People often experience palpable purpura (small hemorrhages) in the skin; often with joint and abdominal pain. For this disease, early detection is very important. But many patients want to know whether renal puncture is needed.

As we know, renal puncture is a common test for kidney disease. Renal biopsy has a clear diagnosis, treatment and estimate to the prognosis of coaching. This is helpful to next step treatment. but kidney puncture has advantage as well as disadvantage. because kidney biopsy is also a kind of traumatic examination. So the dangers of renal puncture embodied in and the treatment method is as follows:

(1) Low back pain and lumbar discomfort: most patients present mild ipsilateral flank pain or discomfort; waist: usually they last about a week. Most patients taking painkillers can alleviate pain, but merge patients with renal hematoma around waist pain, pain can give narcotic painkillers.

(2) The abdominal pain, abdominal distension, abdominal pain in individual patients after renal biopsy, last 1 ~ 7, a few patients can have tenderness and bounce are painful. Due to changes in lifestyle and oppression of bellyband, make patient drinking lots of water or can cause bloating, generally no special processing, has an obvious abdominal distension. In this condition, lactasinum biofermin and spasmolysis medicine are used to alleviate the symptoms.

(3)About 60 to 80% of the patients will experience different degree of microscopic haematuria after ernal puncture. Some patients may appear to the naked eye hematuria. By now, inputting hemostatic vein and blood transfusion are necessary.

In addition, patients with Purpura Nephritis experience many other complications after renal puncture. Therefore, Doing renal punctue should grasp adaptation disease:

1. Acute renal failure without clear-cut etiological diagnosis

2. Acute Nephritic Syndrome; renal functions drop rapidly, and without improvement under 1-2 months treatment.

3. Nephrotic Syndrome

(1) Treated by glucocorticoid regularly for 8 weeks and no effect.

(2) Clinical treatment when needs to accord pathological pattern

(3) Patients who is older than 50 yreas old and without any contraindication of renal puncture.

4. Choronic glomerulonephritis

5. Patients who are suspected as secondary or hereditary kidney disease.

6.Proteinuria without symptoms or proteinuria merge hematuresis

Different patients have different condition. So doing renal puncture or not should consider specific circumstance. You can email to kidneyservice@hotmail.com and get  peosonalized analysis.

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