Kādas ir nieru akupunktūras briesmas

Renal puncture is a traumatic examination, so the harm of renal puncture is also a concern of people. What are the hazards of renal puncture? It does not matter, let our experts introduce this issue to you in detail today. , I hope it can be helpful to you or your family. What are the hazards of kidney puncture? Hematuria. Hematuria is the most common complication of renal biopsy. About 80-90% of patients have microscopic hematuria after puncture. The incidence of gross hematuria varies with the degree of needle injury, accounting for about 5-50%. Generally, hematuria disappears on its own within 1 to 5 days without treatment, and has no effect on the patient's kidneys. Low back pain. After renal puncture, most patients have ipsilateral low back pain or discomfort, which disappears spontaneously in about 3-5 days, and a few patients last for a long time. Infect. Infection after puncture is mostly caused by lax concept of sterility, or the spread of bacteria in the original kidney infection after puncture. Therefore, when performing renal puncture, strict disinfection should be performed, the operation method should be mastered correctly, and anti-vaccine drugs should be selected reasonably to prevent infection. low blood pressure. Persistent low blood pressure after puncture is mostly caused by hemorrhage or hypovolemia in patients with nephrotic syndrome. What are the dangers of doing a renal puncture? Oliguria or anuria. People with oliguria often have low blood pressure, and the urine output increases after the blood pressure is corrected. In some cases, renal colic can be seen due to blood clot obstruction. After the blood clot is discharged, the symptoms can be relieved. tissue damage. Generally, renal puncture does little damage to renal tissue, but due to the accurate positioning of the puncture point, it can also be mistakenly penetrated into the liver, spleen, gallbladder or bowel, resulting in complications. > What are the hazards of doing renal puncture? Perirenal hematoma. Due to the rich blood supply to the kidneys and low perirenal pressure, blood is easy to seep out after puncture, forming asymptomatic small hematomas, with an incidence of about 0.5-1.5%, and disappears after 3 months. I talked about the dangers of doing renal puncture, and then I will talk about the circumstances that are not suitable for renal puncture: (1) Moderate and severe hypertension (blood pressure over 21.33/14.66kPa), because it is easy to bleed or form arteriovenous fistula after surgery, Therefore, blood pressure must be controlled within the normal range before biopsy, otherwise kidney biopsy should not be done. (2) Those who are undergoing anticoagulation therapy are not suitable for biopsy due to difficulty in hemostasis. If a hemodialysis patient needs a biopsy, a small amount of heparin or extracorporeal heparinized anticoagulation is required during hemodialysis before and after the biopsy, and kidney biopsy can be performed 24 hours after hemodialysis. (3) Chronic renal failure with atrophied kidneys is not only difficult to puncture due to renal atrophy, but also because the renal tissue is highly fibrotic, which is no longer helpful for the diagnosis of primary nephropathy, and renal biopsy is of no value. Recommended reading >>Nieres punkcijas radītais kaitējums (4) Nieru biopsiju nedrīkst veikt pacientiem, kam ir atsevišķa nieres pakavs nieres vai nieru darbības traucējumi otrā pusē. Tā kā nopietnu komplikāciju gadījumā pēc biopsijas, kam nepieciešama ķirurģiska izņemšana, pacients bez nieres neiztiks. (5) Aktīvas nieru infekcijas gadījumā, piemēram, pielonefrīts, nieru tuberkuloze, nieru abscess vai perirenāls abscess, punkcija var viegli izraisīt iekaisuma izplatīšanos, un biopsija jāveic pēc tam, kad iekaisums ir pilnībā kontrolēts. (6) Nieru punkcijas kaitējums? Nieru audzējus nevar caurdurt tradicionālā veidā; pretējā gadījumā audzējs izplatīsies. Nieru punkcijai nav piemērotas arī nieru hemangiomas, nieru cistas un policistiska nieru slimība. (7) Hidronefrozes gadījumā nieru biopsiju var veikt tikai pēc tam, kad obstrukcija ir novērsta. (8) Nieru biopsija nav piemērota pacientiem ar sirds mazspēju, perifērās asinsrites mazspēju vai sliktu vispārējo stāvokli.<(9) people="" with="" mental="" disorders="" cannot="" cooperate="" with="" the="" operation="" and="" cannot="" perform="" renal="" biopsy.="" (10)="" in="" obese="" patients="" or="" patients="" with="" severe="" edema,="" percutaneous="" renal="" biopsy="" is="" generally="" not="" performed="" due="" to="" the="" difficulty="" in="" localization="" and="" puncture="" of="" b-ultrasound,="" and="" the="" low="" success="" rate.="" (11)="" harm="" of="" renal="" puncture?="" it="" is="" difficult="" for="" patients="" with="" high="" ascites="" to="" lie="" prone="" with="" puncture.="" at="" the="" same="" time,="" if="" the="" puncture="" needle="" is="" mistakenly="" inserted="" into="" the="" abdominal="" cavity,="" the="" ascites="" may="" leak="" along="" the="" puncture="" tract="" and="" even="" cause="" secondary="" infection.="" therefore,="" renal="" puncture="" must="" be="" performed="" after="" the="" ascites="" has="" been="" eliminated.="" (12)="" renal="" puncture="" cannot="" be="" performed="" in="" the="" third="" trimester="" of="">

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