2014年10月22日星期三

Check the indicators on the prevalence of nephrotic syndrome

Nephrotic syndrome in check indicators which renal function tests:? Often do projects for urea nitrogen (bun), creatinine (scr), this is one of the projects often do, to understand whether impaired renal function and degree .
People often consult with nephrotic syndrome, which indicators need to do the following specific list of what, for reference:
(1) suspected of nephrotic syndrome, in order to confirm the diagnosis, and often do check for:
① urine routine examination: through urine protein, urine sediment examination, can initially determine whether the presence of glomerular lesions.
②24 hour urine protein: 24 hours in patients with nephrotic syndrome, urinary protein than 3,5g is a prerequisite for diagnosis.
③ plasma protein determination: nephrotic syndrome, serum albumin less than 30g is a prerequisite for diagnosis.
④ lipid determination: nephrotic syndrome patients often have dyslipidemia, elevated blood lipids.
(2) In order to understand whether nephrotic syndrome, renal impairment or extent of the damage, to further clarify the diagnosis, differential diagnosis, treatment plan, prognosis, depending on the particular circumstances make the following checks:
① renal function tests: often do the project for urea nitrogen (bun), creatinine (scr), this is one of the projects often do, to understand whether impaired renal function and degree.
② electrolyte and co2 binding force (co2-cp) determination: to find out whether there is electrolyte imbalance and acid-base balance, so that timely corrective.
③ blood rheology tests: blood nephrotic syndrome often in a hypercoagulable state, increased blood viscosity. This check helps to understand the situation.

④ The following inspection items can be selected according to need: the serum complement, serum immunoglobulins, selective proteinuria index, polyacrylamide gel electrophoresis, protein in urine, urine c3, urinary fibrin degradation products (fdp), urease, the anti-serum kidney and renal biopsy and other antibodies.