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In general, it is better not to do kidney puncture, kidney puncture will leave sequelae, although there will be a lot of protective measures before doing it, but it is inevitable that there will be no more serious things when doing it, so in the case of last resort, it is better not to do it.
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Chronic glomerulonephritis, referred to as chronic nephritis, refers to proteinuria, hematuria, hypertension, and edema as the basic clinical manifestations, with different modes of onset, prolonged disease, slow progression of lesions, and different degrees of renal function decline, with a tendency to worsen renal function and eventually develop into a group of glomerular diseases that will develop into chronic renal failure.
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Renal puncture is a test to determine the type of kidney disease that the patient is suffering from, and I heard that this kind of test is to penetrate the kidney and remove the tissue, and the examiner is afraid and worried about the sequelae, so is there any sequelae of the kidney puncture? Hearing that others regretted dying of kidney wear, some people also planned not to do the test. Let's take a look.
Some patients have problems with blood in the urine, renal capsular hematoma, concurrent infection, urinary tract infection, or infection at the puncture site after renal puncture. However, these symptoms are only temporary and do not persist forever, and can be relieved by **. Therefore, there is no need to worry about the sequelae of renal puncture, and do not do kidney puncture because there will be discomfort after renal puncture.
Renal puncture has a positive effect on the examination, diagnosis and prognosis of kidney disease, so if there is a disease in the body and it is necessary to have a renal puncture examination, you should cooperate with the doctor, rather than hearing that it may happen, and do not do kidney puncture.
Renal puncture needs to be done under the guidance of a professional doctor, and after the examination, you need to stay in bed for a day, drink plenty of fluids, and ensure that there is enough urine production, as multiple urine routine tests are required. After the test, your blood pressure will be measured and you will need to pay attention to any changes in your blood pressure. Avoid strenuous exercise, do not lift heavy objects, and do not run and jump for a week after the examination.
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Renal biopsy, i.e., kidney biopsy, is a commonly used diagnostic tool, so let's take a look at its clinical significance and contraindications.
One. Clinical significance of renal puncture
In addition, the histopathological changes of kidney disease are inconsistent at different stages of development. For example, IgA nephropathy can pathologically manifest itself in almost all stages of development, from near-normal kidney tissue to most glomerulosclerosis. Therefore, understanding the changes in renal tissue morphology provides an important basis for clinicians to judge the disease, disease and prognosis.
It can be said that the development of renal pathology examination is a leap in the development of nephrology. At present, the results of renal pathological examination have become a golden indicator for the diagnosis of kidney diseases. In summary, the clinical significance of renal puncture examination is mainly as follows:
Definitive diagnosis: renal biopsy can be used to correct the clinical diagnosis in more than one third of patients. Guidance**:
Nearly one-third of patients can be modified by renal biopsy. In addition, sometimes in order to understand the effect of ** or to understand the progression of pathology (such as crescentic nephritis, 1In acute nephritic syndrome, when renal function deteriorates sharply and rapidly progressive nephritis is suspected, puncture should be done as soon as possible; According to acute nephritis**2 3 months of condition does not improve, renal puncture should be done.
2.Primary nephrotic syndrome, first**, hormonal rules** when 8 weeks are ineffective; or puncture first, depending on the type of pathology**. Asymptomatic hematuria, deformed erythrocytic hematuria, asymptomatic proteinuria, persistent proteinuria >> 1 g day when the diagnosis is unclear, renal puncture should be done.
3.Secondary or hereditary kidney disease: renal puncture should be done when the diagnosis cannot be confirmed clinically, but the renal pathological data are important for guidance** or prognosis.
4.Acute renal failure: timely puncture should be performed when clinical and laboratory tests cannot determine its ** (including rapid deterioration of renal function in patients with chronic kidney).
Two. Contraindications to renal puncture
Renal puncture is a traumatic examination, and it is necessary not only to grasp the indications when selecting a puncture case, but also to carefully rule out contraindications.
Absolute contraindications:
Significant bleeding tendency, severe hypertension, psychosis or uncooperative operative, isolated kidney, small kidney. Relative contraindications:
6.Active pyelonephritis, renal tuberculosis, hydronephrosis or empyema, renal abscess or perirenal abscess.
7.Kidney tumors or renal aneurysms.
8.Polycystic kidney disease or large cyst of the kidney.