Thursday, July 12, 2012

I cure my renal failure by Inmmunotherapy

I cure my renal failure by Inmmunotherapy


First, the medical record (A) General: Patient Name: Han Jing Gender: Female Age: 24 years old Hometown: Henan Province Heng County
Admission time: January 25, 2012 admission
(B) the chief complaint: recurrent lower extremity edema more than five years.
(C) patients with a history :: five years ago "cold" after lower extremity edema, with abdominal distension, no rash, joint pain, treatment in the Guangzhou University City Hospital, check urine routine shows: protein 3 +, in 2008 - 12 wearing a report in Guangzhou, Zhongshan Hospital, Renal said: glomerular minimal change disease, 12 with prednisone first 2 months of treatment cyclophosphamide 0.2 to 6 g / week shared Tripterygium two three times a day treatment two urine protein was negative after multiple recurrent, appears in the 2009-6 Acute renal insufficiency creatinine 192umol / L urea nitrogen 18mmol / L to the methylprednisolone pulse therapy and to the anti-inflammatory. Anticoagulant therapy improved after the sixth treatment in hospital, 2012-01-25 disease recurrence.
(D) admission examination: of Bp 130/90mmHg systemic severe edema.
(E) Supplementary examination:
, Blood: WBC 6.37 * 109 45.5% ↓ in the ratio of neutrophils, lymphocytes ratio 46.9% ↑Hemoglobin 146g / L, platelets 309 * 109 ↑.
2, urine: urine protein, urine specific gravity 1.018. Fine-grained tube / the LPF ↑ mucus, bacteria.
24 hours urinary protein excretion of 17.44 g / 24h ↑
3, blood biochemistry: calcium 2.0mmol / L, ↓.
4, liver and kidney function: total protein 44.6 g / L ↓ albumin 13.2g / L ↓, urea nitrogen 2.7 mmol / L ↓, the creatinine 52umol / L, uric acid 214umol / L. The
5, immunization special clinic projects:
①, kidney damage eight: urinary total protein 9070mg / L ↑ urinary albumin 7331mg / L ↑, urine albumin / urine creatinine 4738.39mg/gcr ↑ urinary immunoglobulin 278.1mg / L ↑ urinary a1 micro- The globulin 31.4mg / L ↑, urinary a1 microglobin / urine creatinine 20.3 mg / gcr ↑ urinary NAG / urine creatinine 69.16 u / g.cr ↑ urine of GGT / urine creatinine 153.83u/g.cr ↑.
②, the uremic seven: Cystatin C0.79mg / L, and serum B2 microglobulin 1.09mg / L. The
③, lipids six: triglycerides 1.42mmol / L, serum total cholesterol 11.82mmol / L ↑, high-density lipoprotein cholesterol 3.55mmol / L, ↑ LDL cholesterol 7.62mmol / L, ↑
④, antibody, 15: no.
⑤, immune 5: the immune the globulin G2.03g / L ↓.
⑥, lymphocyte subsets: 10 index anomalies.
6, B-: chest abdominal no significant effusion.
7: (F), admission diagnosis: primary disease diagnosis: chronic glomerular nephritis comprehensive
The pathological diagnosis: glomerular minimal change;(G), after treatment: one, the patient after admission to the western medicine treatment of complications. To give the OK three plasma exchange therapy to clear the blood of circulating immune complexes, and protect renal function. 3, micro-based traditional Chinese medicine, clear immune complex deposition in the kidney, blocking renal fibrosis and the inflammatory response continues to damage, repair the kidney, to protect the treatment of renal function.

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