Hypertensive encephalopathy in acute nephritis, 1 ~ 2 weeks after the rapid
rise in blood pressure, can reach 160 ~ 200/110 ~ 140 MMHG, at this time can be
characterized by severe headache, frequent vomiting, or spurting vomiting,
irritable or sleepiness, blurred vision, convulsions, etc.When one of
hypertension with blurred vision, convulsions, coma can be diagnosed as
hypertensive encephalopathy.
Acute renal failure is very rare in clinical, but it is the leading cause of
death in acute nephritis.Clinical manifestations of oliguria or anuria blood
urea nitrogen and creatinine increased, metabolic acidosis, high potassium,
congestive heart failure, etc.
Anti-infection treatment of acute nephritis period under the condition of the
focal infection to give enough anti-infection treatment, no infection, oven is
not completed.Use of antibiotics to prevent recurrence of the disease are often
ineffective.
Edema in the treatment of mild edema, without treatment, the limit salt and
rest can disappear.Edema, available furosemide, double hydrogen grams of urine,
spironolactone.
High blood pressure and heart failure in patients with hypertension in
treatment of conventional treatment of high blood pressure.Should not be
significantly increased blood pressure, blood pressure, even down to normal, in
order to prevent the renal blood flow decreased, suddenly or increasing renal
insufficiency.Heart failure treatment, for acute nephritis earlier high blood
capacity problems, application of digitalis effect is not ideal, treatment
focuses on appropriate storage sneak in the clear water, sodium, reduce blood
volume.
No comments:
Post a Comment