Creatinine rises to a thousand, but do not need dialysis!
Although the creatinine is more than 707 umoI/L being considered uremia, but the key to dialysis is not simply the value. It's the volume of the kidney, the amount of urine and the complications.
1. Renal volume.
When nephropathy really develops to uremia, the volume of the kidney will be severely reduced, and 80 percent of the kidney will atrophy.
So if you have a normal size of kidney, even if your creatinine value is over a thousand, you don't need dialysis. Because most of the creatinine is caused by other factors, like high blood pressure, infection, drug damage.
2. The amount of urine
The urine volume of normal people should be about 2000~3000ml, and the urine volume is below 400ml, which is called "little urine". Under 100ml, it is referred to as "no urine".
Normal urine output means that the glomerular filtration function and the reabsorption function of the renal tubule are not seriously damaged.
3. Complications
The complications of uremia are heart failure, acidosis, hyperkalemia, renal anemia and so on. These complications can be life-threatening at any time.
So, when creatinine rises to a particularly high level, the first thing to do is not dialysis, but to find out the causes.
Article URL : http://www.beijingtongshantanghospital.com/faq/510.html
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