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Examinations and symptoms of Hypertensive Nephropathy

Examinations :
   1.Most are mild to moderate proteinuria .The quantity most in 1.5-2.0g in the 24 hours ;Microscopy visible part (such as red blood cells ,white blood cells and hyaline cast)few .There is hematuresis ,the early blood uric acid rise .Urine NAG enzyme .β2-MG increase .Urine concentration-dilution function obstacle ;Ccr lower slowly ,the blood urea nitrogen ,creatinine rise , renal tubular function damage than glomerular function damage .
   2.There is no obvious change of kidney through the imageological examination .When developing into renal failure ,it will appear kidney shrink with different levels ; The early stage of nuclide check will occur renal damage ;electrocardiogram commonly prompt left ventricular high voltage ;chest X-ray or ultrasonic cardiogram commonly reminder aortosclerosis .Left ventricular hypertrophy or enlarge .
   3.Clinical diagnosis of difficulty in early renal should take renal biopsy 

Symptoms 
1.Severe edema
   Edema is the frist symptoms ,which presenting general obvious edema and there is sunken while pressing .Serious patients will have the symptoms of hydrothorax 、ascites .When there is much hydrothorax and ascites will cause difficult breathing 、umbilical hernia or inguinal hernia .Severe edema commonly along with oliguria 、high blood pressure and mild nitrogen qualitative hematic disease .
2.A large amount of proteinuria 
   A large amount of proteinuria is the main symptoms of nephrotic syndrome ,the qualitation of urine protein mostly are ++ ~ ++++;daily urine albumin excretion of adult is more than 3.5g/d ,most of the selective proteinuria .
3.Hypoproteinemia 
   The plasma protein reduces ,serum albumin <30g/L, serious lack of 10g/L.
4.hyperlipemia 
   There is a obvious higher of serum cholesterol ,triglyceride and so on .
 


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