Wednesday, February 13, 2008

Acute glomerulonephritis caused What are the characteristics of hypertension

Acute glomerulonephritis induced hypertension, is more common clinical hypertension secondary one. Its characteristics, and children with mild hypertension is rare, or short-term, and mainly to higher systolic blood pressure and hypertension in adult patients with the incidence of 70% to 80%, and systolic and diastolic blood pressure are often higher . The degree of high blood pressure following more moderate, blood pressure was significantly increased only in the elderly and patients with advanced. The duration of the hypertension emerge in the edema and proteinuria appears at the same time, only a small number of patients with high blood pressure ahead of the other symptoms. Varying the duration of hypertension, edema and urine generally parallel to the change, the vast majority were slow decline, a small number of patients with elevated blood pressure can be dramatic, and even lead to heart failure hypertensive encephalopathy. Child patients, and to presenting hypertensive encephalopathy, in the diagnosis should be attention. Acute glomerulonephritis induced hypertension reasons, and kidney lesions that lead to sodium and water excretion obstacles, a hemorrhagic state and kidney disease may cause kidney boost secretion increased. Its diagnosis based on the following general points: (1) in patients with children or youth, 5 to 20-year-old. (2) prior to the onset of many streptococcus infection and viral infection, and accompanied with fever, edema, hematuria, serious heart failure can occur or hypertensive encephalopathy. (3) The urine check proteinuria, and the red blood cell type. (4) hypertension occurred in oliguric or swelling of the swelling subsided, blood pressure also decreased. (5) systolic and diastolic blood pressure were higher systolic blood pressure in more than 17.3 ~ 22.7 kPa (130 ~ 170mmHg) between. (6) have high blood pressure caused dizziness, headaches, tinnitus, nausea and other symptoms. (7) fundus examination could have retinal edema artery spasm, may have exudative and bleeding, but in general no arteriosclerosis. (8) IVP often glomerular filtration rate decreased significantly, and delay or image enhancement.

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