Patient: VU DINH
Gender: male
Age: 47 years old
Country: America
Admission condition: with proteinuria and with hypertension, after kidney
transplant 14years. 180/120 mmHg, conjunctival pale, double lung breath sounds
clear, Abdominal flat soft, right iliac nest place here is a long 8 cm normal
oblique surgery scar, of lower limbs without edema. Previous: kidney
transplantation elevated blood pressure, up to 170/110 mmHg, regular tartaric
acid of 25 mg twice-daily 1 / day, Malay acid 5 mg enalaprilat 1 / day. 1996 do
appendicitis surgical operation. Auxiliary examination: ultrasound impression:
renal allograft diffuse disease, kidney transplantation set separation
syImmunotherapy. Blood tests and: HGB 154 g/L. Routine urine: urine protein (1
+), concealed blood (+-24-hour urinary protein quantitative 1.01 g; Electrolyte:
CO2 mmol/L 21.3, ALB33.4 g/L, TG 1.82 mmol/L, TC5.84 mmol/L, renal function CREA
259 umol/L, BUN 12.4 mmol/L, Ccr 26.86 ml/min.
Diagnosis: Chronic Renal Insufficiency, Renal Hypertension.
Treatment: firstly, patient received symptomatic treatment through western
medicine, which accompanied with Micro-Chinese Medicine Osmotherapy to block
fibrosis, so as to control the development of disease. When illness condition
became stable, patient received embryonic Immunotherapy.
Expert comments: For patient who have done the kidney transplant, there are
many things you should pay attention to. Although you may have very stable
condition now, one cold or infection may make all your efforts in vain. Here are
some points you should pay attention to as follow:
1. Keep a balance diet and low salt intake, keep your mood stable.
2. Have a test every week so that you have a good knowledge about
yourself.
3. Have medicine regularly according to doctors suggestions
4. Avoid infection or some medicine damaging your kidney. You should pay much
attention about this point.