What are the manifestations of hypertensive nephropathy

summary

Hypertensive nephropathy is a disease that can lead to people's death in life. For people with hypertensive nephropathy, how to prolong their life through effective treatment is the most concerned thing. This article will share the performance of hypertensive nephropathy with the big family.

What are the manifestations of hypertensive nephropathy

First, in the early stage, only nocturia increased, followed by proteinuria. In some cases, transient gross hematuria occurred due to capillary rupture, but without obvious low back pain. The patients often had history of arteriosclerotic retinopathy, left ventricular hypertrophy, coronary heart disease, heart failure, cerebral arteriosclerosis and (or) cerebrovascular accident.

Second: the general blood pressure is continuously increased (20.0/13kpa, 150 / 100mmhg or more); some eyelids and / or lower limbs are swollen, and the heart boundary is enlarged; most arteriosclerotic retinopathy, when the fundus has striped, flame like bleeding and cotton wadding like soft exudation, supports the diagnosis of malignant renal arteriosclerosis. Patients with hypertensive encephalopathy may have corresponding signs of nervous system localization.

Third: the progress of hypertensive nephropathy is slow. Due to the limited medical skills and insufficient knowledge of hypertensive nephropathy, a large part of hypertensive nephropathy will gradually develop into renal failure. However, most patients with hypertensive nephropathy have mild impairment of renal function and abnormal urine routine, such as occult blood, positive protein or white blood cells.

matters needing attention

Hypertensive nephropathy is very difficult to cure. In order to prevent or delay nephrosclerosis, blocking renin angiotensin system seems to be more important than lowering blood pressure in non-diabetic hypertensive patients.