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Adult hemolytic uremic syndrome in 2 cases of: Thick ZHAO Chao Chuan s: medical, health / preventive medicine, hygiene collection This article Example 1: The patient, female, 28 years old, due to "intermittent fever for 40 days. Body swelling 15 days, blurred visi day "admission. Patients with fever 40 days ago 15 days ago cough, sputum, body swelling, anti-inflammatory treatment cough, sputum disappeared, there are still lower extremity edema, blurred visi day. Admission examination: T37.8 , BP210/120mmHg, left upper limb, upper abdominal visible ecchymosis. Lungs is not known and the dry and wet tone, heart rate 104 times, minutes, legal Qi, and 2,6-level apex systolic murmur heard. Abdomen soft. (1 page) Keywords: sputum, blurred vision, hemolytic uremic syndrome, systemic edema, hospitalization, cough, fever, upper limb, intermittent, heart rate articles recommended Miners sputum expectoration difficult to implement comprehensive patient Evaluation of measures of industrial hygiene and occupational diseases in 2006 32, 1 to 6 Total Contents stress and hippocampal neuronal apoptosis in a smelter in workplace health promotion intervention in upper limb muscle fatigue, repetitive tasks Experimental study of surface electromyography asbestos work Investigation of workers 33 years of gastric cancer patients with silicosis complicated with liver ultrasound observation of a city occupational hazard of fishing gear manufacturing industry, Professor Gu Zuwei Survey of dedic


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The names of diseases hemolytic uremic syndrome (kidney medicine) disease disease is more common in infants and young children Introduction. Cause is unknown, some children prior to the onset of fever or viral, it may be associated with infection or immune complex mediated by. Similar clinical manifestations and TPP, with fever, thrombocytopenia, microvascular hemolytic anemia, hypertension and acute renal failure, neurological symptoms are not common. But micro-hemolytic and capillary damage is mainly confined to the kidney, can be seen as the focal type of TPP. No effective treatment, acute renal failure may be given dialysis, some cases may be spontaneous remission. Clinical manifestations 1. Prodromal manifestations: diarrhea, abdominal pain, vomiting and loss of appetite for several days; 2. Acute microvascular hemolytic anemia; 3. Disseminated intravascular coagulation, showing extensive hemorrhagic tendency; 4. Acute renal failure, oliguria performance no urine; 5. Other: If the performance of the circulatory system (hypertension, arrhythmia, heart failure), nervous system (drowsiness, convulsions, coma). Diagnosis is based . Evidence of hemolytic anemia: severe anemia in a short time, reticulocyte 3% -5%, lactate dehydrogenase increased; 2. Thrombocytopenic evidence: systemic multi-site bleeding, platelet count more than <50 10 9 th / L; 3. progressive renal failure: oliguria, anuria, blood urea nitrogen, serum creatinine increased; 4. coagulopathy: coagulation time, increased fibrin degradation products; 5. Kidney Biopsy: Renal microvascular thrombosis. Therapy treatment principles: 1. Symptomatic treatment and supportive care; 2. To correct water-electrolyte and acid-base metabolism imbalance; 3. Blood purification therapy; 4. Anticoagulation therapy. Medicine principles: 1. In general, first consider the application of medication to be confined "A"; 2. Poor efficacy, or patient serious condition, and then consider the use of medication to be confined "C". Efficacy Evaluation: 1. Healing: hemolysis, bleeding stopped, reticulocyte 0.5-1.5%, urine examination was normal, with normal renal function; 2. Better: stop the bleeding, hemolysis greatly improved, urine normal, renal function recovered; 3. healed: bleeding, hemolysis is not controlled, renal function did not improve or become chronic renal failure. Common sense prevention of clinical disease often critical illness and, if found in patients with progressive anemia, acute renal failure, renal biopsy must be done against the clock to a regular hospital and blood purification timely rescue.


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