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What are the symptoms of hypertensive nephropathy?

2017-05-09 17:17

More than 40 years of age in the age of more than 50 years, hypertension history of more than 5 ~ 10 years. In the early stage, only nocturnal urine increased, followed by the emergence of proteinuria, individual cases can occur due to capillary rupture of transient gross hematuria, but not accompanied by significant low back pain. Often associated with atherosclerosis, left ventricular hypertrophy, coronary heart disease, heart failure, cerebral arteriosclerosis and / or cerebrovascular accident history. The progress of the disease is slow, a small number of patients gradually developed into renal failure, most of the renal function of mild damage and abnormal urine routine. The diastolic blood pressure of the patients with malignant hypertension should be more than 16Kpa (120mmHg), which is accompanied by obvious cardiac and cerebral complications and rapid development.

1 severe edema

Edema is often the first symptom, showing systemic edema, acupressure depression. Severe patients and hydrothorax, ascites, pleural effusion and ascites when more can cause breathing difficulties, umbilical hernia or inguinal hernia. Edema is often accompanied by oliguria, hypertension, mild hypoxemia.

2 massive proteinuria

Proteinuria and nephrotic syndrome is the main manifestation, qualitative urine protein is + + ~ + + + +, adult daily urine protein excretion was more than 3.5g/d, mostly for selective proteinuria.

3 hypoproteinemia

Plasma protein decreased, serum albumin <30g/L, severe deficiency of 10g/L.

4 hyperlipidemia

Blood cholesterol and triglyceride were significantly increased.

  

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