2015年8月17日星期一

Mr. Kelvin, Chronic Renal Failure from Singapore

When Mr. Kelvin was diagnosed with Chronic Renal Failure, he never spent time asking, "Why me?" Instead, he prepared himself for the battle ahead, waiting for what he calls the "black cloud" to pass. After 26 day's integrated Chinese medicine and western medicine treatment in our hospital, Mr. Kelvin's condition had a significant improvement.

Hospitalization: At 20:00 on Feb.10, 2012

Diagnosis: Chronic Renal Failure (Uremia), Renal Anemia, Renal Hypertension, electrolyte imbalances, Heart Failure classⅠ, and pericardial effusion.

Before the treatment

1. BP 140/100mmHg, HR 108 beat per minute, body temperature 37.0℃, 71kg, nausea and vomiting.

2. Blood test: RBC 3.43↓, HGB 103g/L↓, HCT 031.0↓.

3. Electrolyte: K+ 5.48mmol/L↑; PO4+ 1.75mmol/L↑; CO2 15.5mmol/L.

4. Kidney function: BUN18.9mmol/L↑; Cr1043 umol/L↑; UA 610 umol/L↑; β2—microglobulin 21.48mg/L↑; cystatin C 4.66mg/L↑.

5. 8 checks on kidney damage: Urine Total Protein 599mg/L↑

Urine Microalbumin /urine creatinine 206.45 ↑

IgG 20.3 mg/L↑

α1-microglobulin 86.3mg/L↑

a1--microglobulin/urine creatinine 61.23mg/L↑

6. Urine volume 600ml/24h urine protein 0.51 g/24h

Treatment:

Once immunoadsorption+ 3 times plasma exchange+Micro-Chinese Medicine+western medicine

After the treatment:

1. BP 130/90mmHg, HR 78 beat per minute, medium pericardial effusion.

2. Blood test: RBC 2.91↓, HGB 85g/L↓, HCT25.7↓.

3. Electrolyte: K+ 5.12mmol/L↑; PO4+ 2.95mmol/L↑; CO2 24.5mmol/L.

4. Kidney function: BUN 15.5mmol/L↑; Cr 620umol/L↑; UA 336umol/L↑; β2—microglobulin 22.57mg/L↑; cystatin C 4.94mg/L↑.


5. Urine volume 1600ml/24h; body weight 64.5kg.

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