Glomerulonephritis patients HALIMA ESBAG

Today, with everyone watching a story about a patient of Libya in Chinese treatment.

Name: HALIMA ESBAG

Sex: female

Age: 50

Marriage: Married

Country: Libya

Why go to China?

The main cause of intermittent lower extremity edema six, increased serum creatinine five years. In at 22:20 on September 4, 2013 for the first time in our hospital.

History of present illness: 6 years ago by the patient because of cough, sputum, foamy phlegm cough, sore throat, lower limb edema, go to a blood pressure 120 / 70mmHg local hospital, check urine showed: protein urine + hidden + + blood, normal renal function, the local hospital diagnosed as "chronic glomerulonephritis" Local doctors give the treatment of cough (specifically unknown drugs), nursing and prevent colds, infections, fatigue. Five years ago, because patients headache, treatment at a local hospital, blood pressure 160 / 110mmHg, Check urine showed: protein in urine +, occult blood + +, Blood showed: HB80G / L, renal Shows : 1.5mg / dl, diagnosed as "chronic glomerulonephritis, chronic renal failure, renal anemia," doctors give "160mg / 25mg CARD" to antihypertensive treatment, given no hormones, immunosuppressive therapy for kidney disease. After intermittent review of renal function, the creatinine ranged from 2-3mg / dl. Patients not the laws of oral drugs, blood pressure control is not ideal, fluctuations between 140-160 / 90-110mmHg. Nausea occurred two months ago, vomiting, high blood pressure in the local hospital 160 / 100mmHg, renal function, increased serum creatinine 5.2mg / dl, Renal ultrasound showed: renal size of about 8.6 cm, given telmisartan 80 mg 1 time / day, the patient in the hospital for further treatment.

Since its inception, mental, diet, sleep, the patient may be, no dizziness, no blurred vision, abdominal pain, diarrhea, no purple skin without nocturia, no urinary frequency, urgency, dysuria, hematuria, urine about 800ml / 24h, normal stool.

Entrance examination:

Own patients in the room, clear language of God Lee, fluent to the point, measuring BP: 140 / 90mmHg, no sore throat, swollen tonsils grade I. Lung auscultation breath sounds clear, odorless and without increasing moist rales and dry rub and pleural friction, percussion heart border, heart rate of 90 beats / min, law Qi, the valve does not smell and noise, liver and spleen not palpable ribs. sensitivity Abdomen soft smooth without rebound tenderness and muscle tension, mild edema of the lower extremities refers to concave.

Admission diagnosis:

Chronic glomerulonephritis, chronic renal failure (kidney failure period), renal hypertension, renal anemia, metabolic acidosis, left renal cyst, acute enteritis.

After treatment:

After admission to grade Ⅰ Nephrology Nursing, low salt high quality low fat diet low in protein. According to the evidence in return antibiotics given to reduce toxins, blood pressure, correction of acidosis, reduction in phosphorus, iron, correction of anemia and juice topical herbal decoction Shenshu to protect the enema bilateral renal function to reduce body toxin treatment.

Treatment effect:

Mental patient, a good diet, 130 / 85mmHg blood pressure, body temperature of 36.8 ℃, lung breath sounds clear, odorless and wet and dry rales, heart rate 64 beats / min, law Qi area valve auscultation without smell and noise, without edema lower extremities. Screening of blood: white cells 9.95 × 109 / l, red blood cell count 3.08 × 1.012 / L, hemoglobin 88 g / L, then the routine: Brown soft feces and blood test fecal occult was negative; renal six showed 15.4 mmol urea nitrogen / l, creatinine 417umol / L, 403umol uric acid / L; shows electrolytes: potassium: 4.17mmol / L, total carbon dioxide 22.3 mmol / L; series shows iron metabolism: transferrin saturation 24.89%.

State analysis:

The patients in our hospital system effective treatment, during treatment to improve patient confidence to overcome the disease, and improve the immune system of the patient through medicine, kidney cells to repair and protect the treatment of renal function .

Patients are now home to continue the traditional Chinese medicine, which has improved in all aspects. 120 / 80mmHg blood pressure, serum creatinine fell 360umol / L, hemoglobin 133g / L, uric acid is normal. All aspects are relatively stable. To do this, said patients and their families are happy and finally find a way to effectively treat renal disease.