2015年1月28日星期三

Patient with lupus nephritis, chronic renal failure Stage 5 CKD, renal anemia

1. Medium patient

Name: Dilshad

Sex: female

Age: 48a?os

Nationality: India

2. Diagnosis: Lupus nephritis, chronic renal failure Stage 5 CKD, renal anemia

3. Introduction of disease: Patient a year ago due to fever rash miliary type of body, nausea, vomiting, fatigue, treatment in a local hospital, measurement of renal function occur: serum creatinine 11mg / dl, hemoglobin 72g / l , urine protein .Anticuerpos + + antinuclear, anti DNA antibodies double + chain, the diagnosis is "lupus nephritis, chronic renal failure stage 5 CKD, renal anemia, dialysis, step down, iron supplements, supplements blood and other treatments, patient for further treatment on 3/5/2012 first came to our hospital.

4. After you came to our hospital, did test: hemoglobin: 72g / l, serum creatinine: 538umol / l, uremic Nitrogen 25.7mmol / l after oral poison auxiliary exhaust and treatment of Micro-Chinese Medicine, hemoglobin maintained at 90g / l, creatinine controlled 300-350umol / l, antinuclear antibodies, antibody-dsDNA - now did dialysis patient.

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