Thursday, June 5, 2008

Hypertension caused acute glomerulonephritis What are the characteristics

Acute glomerulonephritis caused by hypertension, is more common clinical hypertension secondary one. Its characteristics, and children with mild hypertension is rare, or transient, and mainly to higher systolic blood pressure and adult patients with hypertension rate was 70 percent to 80 percent, systolic and diastolic blood pressure are often higher . The degree of high blood pressure more moderate following, blood pressure increased significantly only in the elderly and patients with advanced. From the time, the hypertension in the emergence of more swelling, proteinuria appear at the same time, only a small number of patients with high blood pressure ahead of the other symptoms. Hypertension sustained varying duration, and general swelling and urine changes in parallel, the overwhelming majority of a slow decline, a small number of patients with blood pressure can be dramatically increased, even cause hypertension and heart failure encephalopathy. Patients with children, to hypertensive encephalopathy as the first performance, should be in the diagnosis of attention. Acute glomerulonephritis of the reasons for high blood pressure, and kidney disease that led to sodium excretion of water obstacles, a blood volume status and kidney disease to kidney boost may increase the secretion of substances. Its general diagnosis based on the following points: (1) the child or young patients, with 5 to 20-year-old . (2) prior to the onset of many of Streptococcus infection and virus infection, and often accompanied with fever, edema, urine, severe hypertension or heart failure can occur encephalopathy. (3) urine check proteinuria, and the red blood cell type. (4) Hypertension occurred in oliguria or swelling of the swelling dissipated, blood pressure also declined. (5) both systolic and diastolic blood pressure increased, systolic blood pressure in more than 17.3 ~ 22.7 kPa (130 ~ 170mmHg) between. (6) have high blood pressure caused by dizziness, headache, tinnitus, nausea and other symptoms. (7) fundus examination may have retinal artery spasm edema, may also have leakage and bleeding, but in general no arteriosclerosis. (8) IVP, often glomerular filtration rate decreased significantly, and delayed or non-image enhancement.

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