2016年1月22日星期五

Polycystic kidney complications - bleeding

Bleeding is very common in polycystic kidney disease, bleeding varying amounts, with more than 60% of polycystic kidney disease patients have in their lives once bleeding. Patients may be asymptomatic or only abdominal pain, bleeding kidney capsule when the urethra is not connected, the performance of severe pain. Hypertension and kidney volume increase is a risk factor for kidney capsule hemorrhage, infection, stress is easy to induce large hemorrhage. Congestion of the kidney capsule rupture lead over a large number of blood into the peritoneal after application of CT and MRI in favor of the diagnosis. Note that with the tumor, stones or infection in differential diagnosis.

Treatment includes bed rest and analgesic symptomatic treatment, the majority of bleeding may stop on its own in 48 hours to 1 week. When bleeding occurs more than one week or for the first time in over 50 years of patients should pay attention to rule out the possibility of cancer. Heavy bleeding, may be given to increase the number of dialysis, and strictly control the amount of anticoagulant, try to select with a half-life of small molecular weight heparin. Bleeding prompt deterioration of renal function, its poor prognosis than those who are not blood.


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