The Choice Of Therapy Opportunity About Ischemic Nephropathy In Dangerous Public

Objective:chronic disease of Kidney had become one of the important diseases that jeopardizing public health.The result of the third health of nation and investigate of alimentation in America shows that 11% of America get chronic disease of kidney,and in china the quotiety is 8%-9% in the public of above 40 years old.Recently epidemiology investigate show that Ischemic Nephropathy(IN) are 22% of patients whose function of nephropathy in middle age and agedness. So it needs to analyse the reason, diagose and therapy headway about IN recently,then find diagnose standard that can help to interven therapy to IN.Methods:Choose 30 case of IN and surgery interferes, the radiography carrying out the kidney arterial before the skill is examined, kidney arteriostenosis degree is in 50% and equal greater than of Scr 110 umol/L, kidney arterial peak value flow rate (PSV)> 150 cm/s,may be diagnosed to be kidney arteriostenosis.Possessions prepare to do surgery interfere with cure a sum or get involved in equally before the patient does a skill treat.The patient is cured with must interfere with a group that 30 examples are conservative carries out comparison.Result: Studying is carrying out,a part of 30 case patients have accomplished kidney organization pathological mechanism grades by side surgery interferes with cure a sum or get involved in treat. After accomplish all project ,we can observe to the follow-up being in progress process for patient , recording blood biochemistry and urine routine examination, and comparing with the not interfere team. The result is that the kidney function of interfere team is more better than not interfere team. Conclusions:IN develop very dormant,we can not fouepart diagnose and therapy.The kicney histopathology has come to incurable phase when they fins lack of kidney function.It is impotant to doctor that we must enhance the consciouness to forepart diagnose for IN,and search exact standard to siagnose IN.We find IN evolves very rapidly and renal function deteriorate soon,so we should surgery therapy activity and protect renal function. Therapy methods have intervention therapy,vas reconstruct opera- tion and medication.Renal function decides the choice of therapy methods. Medication has small effect to prevent to disease evolve,and it can hold true the IN patients who did not grasp the opportunity of surgery. Therefore, the choice of surgery therapy opportunity is very important. Histopathology inspection result is target that secide whether renal function can renew and should surgery thweapy.In suitable crowd,surgery therapy can selay the evolve of renal function damage markedly and reverse renal function.So the investigate filtrate the dangeroude public of IN,and the result of kidney puncture histopathology can be dee the standard whether it must surgery thweapy.We observe change instance of the intervenor team and the non—interventor team,then discuss the choice of surgery therapy about IN.