2016年9月14日星期三

Case Analysis of Polycystic Kidney Disease in Shijiazhuang Kidney Disease Hospital

Patient: Li Yushan, 45 years old, Hebei Province

Diagnosed: Polycystic Kidney Disease

When patients came to our hospital: he had really bad appetite, mental condition and sleep quality. He also had distending pain on his bilateral kidney region. Patient did not suffer from Edema, but swelling block can be seen on abdominal region when patient is lying flat, and two swelling masses can be touched on bilateral sides of abdomen with unsmooth surface. Pressing pain can be felt.
Test result when patient came to our hospital: Blood Pressure, 170/100mmHg; Heart Rate: 80/min; hemachrome, 10g.

Through Type-B Ultrasonic examination: left kidney, 20.0×10.0×8.0cm; right kidney, 22.0×12.0×8.0cm; largest cyst in left kidney, 5.0×4.5cm, largest cyst in right kidney, 5.6×4.8cm.

Through ECT examination: multiple diffusing damage on bilateral kidney; low blood perfusion of bilateral kidney; decreased glomerular filtrating rate of bilateral kidney, left kidney, 32ml/min, right kidney 30ml/min; slow excretion of bilateral upper urinary tract.

Treatment: according to patient’s illness condition, doctors give him Micro-Chinese Medicine Osmotherapy. After treatment, patient has an improved mental condition, appetite and sleep quality. Distending pain disappears gradually.

Test result after treatment: Blood Pressure: 130/80mmHg, no hypotensor was taken; hemachrome, 12g; Serum creatinine, 98μmol/L; blood urea nitrogen, 6.8mmol/L; blood uric acid, 402.0μmol/L; Blood potassium, 4.48mmol/L.

Through Type-B Ultrasonic examination: left kidney, 15.0×5.0×4.0cm; right kidney, 16.0×7.0×4.0cm; largest cyst in left cyst, 2.0×2.0cm; largest cyst in right kidney, 2.6×2.0cm.


Through ECT examination: filtrating rate of left kidney, 58ml/min; filtrating rate of right kidney, 52ml/min; bilateral upper urinary tract is smoothly.

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