What does hypertensive nephropathy symptom have

summary

Uncle a month ago because of low back pain to the hospital, the results of the examination found that I had hypertensive nephropathy, hospitalization has been a month, the effect is not very good, for patients with this disease should be treated as soon as possible, now I will tell you about the symptoms of hypertensive nephropathy.

What does hypertensive nephropathy symptom have

Symptom 1: a continuous systolic murmur or mild tremor can be heard in about half of the physical signs in the upper abdomen, the affected side of the lower back or costal margin.

Symptom 2: symptoms before or after the age of 30 years old, long-term hypertension suddenly aggravates or hypertension suddenly appears, the course of disease is short, the progress is fast, diastolic blood pressure increase is particularly obvious, with low back or costal abdominal pain, drug treatment is invalid.

Symptom 3: special examination showed that the following conditions could occur alone or in combination; renal angiography showed artery filling defect, stenosis of the distal vascular cavity dilation or no vascular part; intravenous pyelography showed that the affected kidney was 1.5-2.0cm smaller than the healthy kidney, irregular shape, slow and weak development in the early stage, and strong development in the late stage; percutaneous puncture catheter was inserted into the inferior vena cava, and bilateral renal biopsy was taken respectively The results showed that the renin in the venous blood of the affected kidney was higher than that in the venous blood of the affected kidney; the renal function test showed that the urine volume of the affected kidney was less, the urine sodium was lower, and the clearance rate of creatinine or inulin was lower; ultrasound showed that the affected kidney was smaller. On renogram, the vascular segment of the affected side curve was lower and delayed, and the excretion segment was longer.

matters needing attention

Hypertensive nephropathy is the damage of renal structure and function caused by primary hypertension, which can be divided into benign hypertensive nephrosclerosis and malignant hypertensive nephrosclerosis. The former is due to the long-term effect of benign hypertension (≥ 140 / 90 mmHg) on the kidney, while the latter refers to the renal damage caused by the development of malignant hypertension (diastolic blood pressure > 130 mmHg) on the basis of primary hypertension. If hypertension and kidney damage exist at the same time, they will cause and effect each other and aggravate each other.