2016年10月13日星期四

Typical Case of Polycystic Kidney Disease

Patient Name: Zhou Ping

Gender: Female

Age: 53

Province: Zhangjiakou, Hebei Province

Diagnosis: Polycystic Kidney Disease, Chronic Renal Insufficiency in Renal Failure Stage, Nephrotic Anemia, Nephrotic Hypertension, and Polycystic Liver Disease.

Physical Examination in Shijiazhuang Kidney Disease Hospital: patient had symptoms of nausea, vomiting, tiredness and low appetite.

Blood pressure: 180/120mmHg

Type-B Ultrasonic result, right kidney: 28×9.5×9.2cm; left kidney: 30×10×9.5cm
Renal function:Scr642umol/L,BUN27mmol/L

Electrolyte: cl120mmol/L,co2cp15mmol/L

Routine Blood Test: Hb80g/L

Treatment and effect: patient was given Micro-Chinese Medicine Osmotherapy to treat her disease. Five days later, symptoms of nausea and vomiting disappear, and patient began to have a better appetite after seven-day treatment. Ten days later, tiredness is relived and blood pressure was controlled in 130/80mmHg.
Test results of 20days later, renal function: Scr400umol/L,BUN19mmol/L; electrolyte: cl110mmol/L,co2cp21mmol/L; routine blood test: Hb95g/L; right Kidney: 20×7.2×7.0cm; left kidney: 19×7.0×7.5cm

Patient left hospital to home for consolidation treatment.

Returning visit after half a year, renal function: Scr178umol/L,BUN8.5mmol/L; electrolyte: co2cp25mmol/L; routine blood test: Hb110g/L; right kidney: 10×5.0×5.0cm; left kidney: 10.5×5.0×5.5cm


Expert comment: Renal Failure that patient suffered from was developed gradually from Polycystic Kidney Disease which usually happens among patients at 35 to 40 years old. With cysts growing, they can compress nephron, which can lead to renal ischemia and anoxia as well as function decline. Once some certain number nephron function is damaged or disappeared, this disease can develop into Renal Insufficiency, or even Uremia, causing a series of complications of anemia, acidosis, and gastrointestinal functional disorder and so on. Micro-Chinese Medicine can improve blood circulation on cyst wall, recycle cyst fluid and reduce cysts, which is helpful to reduce cystic pressure on nephron and recover injured nephron. Through this method, renal function can be recovered and complications can be relived at the same time.

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