What are the manifestations and diagnosis of polycystic kidney disease in pregnancy?2017-01-24 16:58
1 pain back pain or abdominal pain is the most common symptoms. Most pain, dull pain, fixed on one side or both sides, can radiate to the back or lower abdomen. A sudden increase in pain, often in the form of an internal hemorrhage or secondary infection.
2 hematuria and proteinuria in patients with hematuria from 25% to 50%, can be manifested as microscopic hematuria or gross hematuria. Hematuria is mainly due to the excessive traction of the vascular wall. There are 70% to 90% of patients with proteinuria, the general amount is not much, 24h is usually less than 2g.
3 high blood pressure in patients with hypertension from 70% to 75%, so pregnant women often associated with pregnancy induced hypertension, can cause the deterioration of polycystic kidney disease.
4 abdominal mass pregnancy with uterine growth, abdominal discomfort and enlargement of polycystic kidney. However, in patients with non gestational weight loss, 50% to 80% palpable abdominal mass.
5 polycystic kidney infection complicated with urinary tract infection. Acute infection or purulent showed chills, fever, frequent micturition, pyuria etc..
6 cases of advanced renal failure due to cyst compression, complicated pyelonephritis causes destruction of renal parenchyma caused by renal failure.
According to the family history and clinical manifestations of polycystic kidney disease, the possibility of polycystic kidney disease can be made. After the diagnosis of polycystic kidney disease should pay attention to other parts of the lesion, such as polycystic liver.