儿科学精品教学（重庆医科大学）10.1Acute Glomerulonephritis.pptVIP

lets look at the typical case 1.almost all patients present haematuria, including 50-70% gross haematuria, sometimes microscopic hematuria 2.these are different colour of hematuria , pink ,dark gray, brown and red , different colour depending on different PH value. the acidic urine shows brown or dark gray, alkaline urine shows pink or red 3 usually, gross haematuria tranfer to microscopic hematuria after 2 weeks later. 1.because of the impairment of GBM, some people show proteinuria 2.the degree of proteinurin is mild, usally fluctuating from one plus to two plus symbol , 24-h urine protein quantitation is less than 50mg/kg 3. a small part of patients show massive proteinuria( nephrotic-range),24-h urine protein quantitation is more than or equal to 50mg/kg 1.edma results from water and salt retention 2.begins with eyelids, gradually Spreads to the whole body. 3.because the edema result from warter and salt redention, circulative congestion , the character of edema is usually non-pitting 4.this picture showes the periorbital edema( around the eyelids), ascitis 1.Hypertension results from water and salt retention,30-80% patients present hypertention, 2.when children suffer from hypertention, he will feel headache, dizziness, sometimes photophobia 3.I will give you the standards of hypertention, for school children, 130/90mmHg pre-school children one hundred and twenty over eighty millimeters of mercury 4.you should remember the features of typical case: hematuria, proteinuria, edema, and hypertention 1.if the patient prensent severe circulative congestion even heart failure,or Encephalopathy ,Acute renal failure, these situations are severe manifestations 1.if the patient prensent severe circulative congestion even heart failure,or Encephalopathy ,Acute renal failure, these situations are severe manifestations 2. severe circulative congestion is the result of Severe plasmavolume overload,the patient will suffer from dyspnea,orthopnea,cough with pink frot