Wednesday, February 13, 2008

Glomerulonephritis slow trigger hypertension DR features

Chronic glomerulonephritis without renal failure, the general incidence of hypertension and renal function was directly proportional to the extent of the damage relations. Glomerular lesions lesser extent in the circumstances, hypertension, a rare occurrence, even though there are also more mild hypertension. Glomerular lesions in the development of renal injury increase, the incidence of hypertension and the degree of increase as a result. Because patients with chronic glomerulonephritis more in the intake of sodium and water, the body of the impact of significantly larger than normal, so to speculate hypertension may be related to the occurrence of abnormal regulation of body fluids. But with renal insufficiency, Shuinazhuliu caused by high blood volume status is often a major factor in the development of hypertension. In addition, plasma renin activity increased total peripheral resistance increased, the development of hypertension is another important reason. Clinical diagnosis based on the following points: (1) patients with previous history of acute glomerulonephritis. (2) recurring edema and proteinuria, and accompanied anemia, hypoproteinemia and azotemia. (3) retinopathy is not obvious. (4) microscopic hematuria and proteinuria appeared in hypertension, proteinuria and the persistence of high blood pressure is not significant. (5) IVP angiography showed bilateral renal excretion delays and narrow, it can help chronic glomerulonephritis symptoms in the diagnosis of hypertension. Chronic glomerulonephritis induced hypertension symptoms, although the above characteristics, but it is sometimes difficult to distinguish patients with hypertension. In the blood pressure significantly increased occurrence or renal failure, hypertension is not easy with three of hypertension and radical differential. They can be a protein in the urine, red blood cells and type, there azotemia arteriosclerosis and retinal hemorrhage, edema, etc. as papillary lesions. In hypertensive patients with clinical manifestations kidney damage, attention should be differentiated, for the corresponding treatment, and this improvement of the disease and prognosis is very important.

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