Nursing of children with nephrotic syndrome.doc

 PAGE \* MERGEFORMAT 9 Nursing of children with nephrotic syndrome [Keywords:] nephrotic syndrome nursing Nephrotic syndrome is increased permeability of glomerular basement membrane lesions caused mainly from a large number of plasma proteins excreted in the urine caused by a performance of a clinical syndrome, is one common pediatric urinary system. A high degree of edema, a large number proteinuria, hypoalbuminemia and hyperlipidemia, the “three high and one low” 4 major features. nephritis, nephrotic In addition to the 4 major features but also have hematuria, hypertension, azotemia, and reduced complement C3 4 in subparagraph 1 or more. As with the longer duration of renal diseases, easy to relapse, complications are more difficult to treat, it is necessary to strengthen the children’s care, to get the desired therapeutic effect. 1 Clinical data 1.1 General information collected 60 cases of children with nephrotic syndrome, including 34 males and 26 females, the youngest 3 years old, maximum 14 years, an average of 8.5 years, of which 3 to 8 years old accounted for 25 cases. Are consistent with the diagnosis of nephrotic syndrome Standard .24-hour urinary protein was 3.7 ~ 15g, serum albumin 1.7 ~ 2.9g / L, the average 2.4g / L, with various degree of edema and hyperlipidemia. for the simple 49 cases of kidney disease, nephritis, nephrotic 10 cases, congenital kidney in 1 case. length of stay: minimum 4 days, the longest 125 days, an average of 45 days. 1.2 Results Treatment with glucocorticoids such as prednisone (prednisone), the total course of treatment for 8 weeks to 12 months, those in poor efficacy of corticosteroids plus immunosuppressive agents such as cyclophosphamide and so on. The prognosis depends mainly on the pathological type, glucocorticoid is reasonable and whether serious complications, although the easy simple nephrotic relapse, but the prognosis is good, nephritis, nephrotic syndrome with poor prognosis.