To what extent should renal puncture be done? Nowadays, with the improvement of living standards, some people's lives and diets are becoming more and more unrestrained, leading to various diseases. In particular, kidney disease is frequent, and kidney puncture is needed. So to what extent should renal puncture be done? Let's go with me to find out.
To what extent should renal puncture be done 1 under what circumstances should renal puncture be done?
1. Nephrotic syndrome: If the cause of nephrotic syndrome is unknown, consider whether it is secondary to systemic diseases;
2. Acute glomerulonephritis syndrome. Renal biopsy can find the morphology and degree of inflammation and immune deposits, which is very important for early diagnosis and treatment of acute glomerulonephritis.
3. Primary nephrotic syndrome is found in adults. It is best to do renal biopsy before using hormones to determine their tissue types, so as to avoid side effects caused by blind use of hormones, especially those who are ineffective in treatment.
4. Renal biopsy can be considered for patients with hematuria if the diagnosis cannot be established after all kinds of tests have ruled out non-glomerular hematuria. Renal biopsy should be done if there is persistent hematuria and hematuria with proteinuria without clinical manifestations, and the 24-hour urine protein quantity is greater than 65438±0g g.
5. The renal function of glomerulonephritis decreases rapidly, and renal biopsy is needed to determine the pathological type of renal damage.
6. Chronic renal insufficiency: There may be some acute aggravating factors or reversible factors in the progress of chronic renal failure. If active and effective treatment is given, the progress of renal function can be improved and delayed.
7. Simple proteinuria lasts for a long time without any symptoms, and its pathological type can be determined by renal biopsy, which is beneficial to medication and prognosis.
8. Acute renal failure: Acute renal failure is often dangerous, and timely diagnosis and treatment is of great significance to its prognosis. For acute renal failure with glomerular and renal small vessel lesions, renal puncture should be performed as soon as possible.
9. Secondary or hereditary nephropathy: Kidney damage is often secondary to systemic diseases, such as diabetes complicated with hypertension, systemic lupus erythematosus, primary systemic vasculitis and other connective tissue diseases.
Renal puncture surgery is a very common technology in medical treatment, and with the development of medical level, the related side effects are getting smaller and smaller, or it can be said that it basically does not exist in regular hospitals, so we should follow the doctor's advice in the treatment process, rather than guessing at random and rejecting the treatment plan of the attending doctor.
To what extent should renal puncture be performed? 2 1. When acute pathological changes occur in the renal system, renal puncture can be performed, such as severe acute glomerulonephritis, acute nephritis, nephrotic syndrome, secondary glomerular diseases, etc. Before treatment, puncture biopsy can be performed.
Some patients may have some complications after renal puncture, such as infection, bleeding, perirenal abscess and so on. , should be treated in time. After puncture, patients should stay in bed and avoid strenuous exercise. If there are serious complications, such as renal scraping and massive bleeding, nephrectomy should be performed when necessary.
2. Adult patients with nephrotic syndrome, that is, the 24-hour urine protein quantitative is greater than 3. 5g, patients with hypoproteinemia, such as plasma albumin less than 30g/L, accompanied by edema and hyperlipidemia, need to do renal biopsy to determine the pathological type and guide the next treatment. Children with nephrotic syndrome are generally minimally invasive and can be treated with glucocorticoid for more than 8 weeks. If there is no clinical effect, renal biopsy can be performed again.
3. The patient's 24-hour urine protein quantity is greater than1g/L. If the renal function is normal and the volume of both kidneys has not decreased, renal puncture can be considered.
4. Patients with acute renal failure, that is, obviously impaired renal function, need to have a kidney puncture. Fourthly, patients with acute glomerulonephritis should undergo renal puncture, that is, patients who suddenly have no urine in a short period of time and whose renal function damage is sharply aggravated.
5. If the cause of renal insufficiency after transplantation is unknown, or the patient has rejection and is uncertain about the next treatment, renal biopsy should be performed.