What Are The Dangers Of Renal Acupuncture

Renal puncture is a traumatic examination, so the harm of renal puncture is also a concern of people. What are the hazards of renal puncture? It does not matter, let our experts introduce this issue to you in detail today. , I hope it can be helpful to you or your family. What are the hazards of kidney puncture? Hematuria. Hematuria is the most common complication of renal biopsy. About 80-90% of patients have microscopic hematuria after puncture. The incidence of gross hematuria varies with the degree of needle injury, accounting for about 5-50%. Generally, hematuria disappears on its own within 1 to 5 days without treatment, and has no effect on the patient's kidneys. Low back pain. After renal puncture, most patients have ipsilateral low back pain or discomfort, which disappears spontaneously in about 3-5 days, and a few patients last for a long time. Infect. Infection after puncture is mostly caused by lax concept of sterility, or the spread of bacteria in the original kidney infection after puncture. Therefore, when performing renal puncture, strict disinfection should be performed, the operation method should be mastered correctly, and anti-vaccine drugs should be selected reasonably to prevent infection. low blood pressure. Persistent low blood pressure after puncture is mostly caused by hemorrhage or hypovolemia in patients with nephrotic syndrome. What are the dangers of doing a renal puncture? Oliguria or anuria. People with oliguria often have low blood pressure, and the urine output increases after the blood pressure is corrected. In some cases, renal colic can be seen due to blood clot obstruction. After the blood clot is discharged, the symptoms can be relieved. tissue damage. Generally, renal puncture does little damage to renal tissue, but due to the accurate positioning of the puncture point, it can also be mistakenly penetrated into the liver, spleen, gallbladder or bowel, resulting in complications. > What are the hazards of doing renal puncture? Perirenal hematoma. Due to the rich blood supply to the kidneys and low perirenal pressure, blood is easy to seep out after puncture, forming asymptomatic small hematomas, with an incidence of about 0.5-1.5%, and disappears after 3 months. I talked about the dangers of doing renal puncture, and then I will talk about the circumstances that are not suitable for renal puncture: (1) Moderate and severe hypertension (blood pressure over 21.33/14.66kPa), because it is easy to bleed or form arteriovenous fistula after surgery, Therefore, blood pressure must be controlled within the normal range before biopsy, otherwise kidney biopsy should not be done. (2) Those who are undergoing anticoagulation therapy are not suitable for biopsy due to difficulty in hemostasis. If a hemodialysis patient needs a biopsy, a small amount of heparin or extracorporeal heparinized anticoagulation is required during hemodialysis before and after the biopsy, and kidney biopsy can be performed 24 hours after hemodialysis. (3) Chronic renal failure with atrophied kidneys is not only difficult to puncture due to renal atrophy, but also because the renal tissue is highly fibrotic, which is no longer helpful for the diagnosis of primary nephropathy, and renal biopsy is of no value. Recommended reading >> Harm of renal puncture (4) Renal biopsy should not be performed in patients with solitary kidney horseshoe kidney or with loss of renal function on the other side. Because in the event of serious complications of biopsy requiring surgical removal, the patient will not survive without the kidney. (5) For active renal infection such as pyelonephritis, renal tuberculosis, renal abscess or perirenal abscess, puncture can easily cause the spread of inflammation, and biopsy should be performed after the inflammation is completely controlled. (6) Harm of renal puncture? Renal tumors cannot be punctured in a conventional manner; otherwise, the tumor will spread. Renal hemangiomas, renal cysts, and polycystic kidney disease are also not suitable for renal puncture. (7) For hydronephrosis, renal biopsy can only be performed after the obstruction is relieved. (8) Renal biopsy is not suitable for patients with heart failure, peripheral circulatory failure or poor general condition. <(9) People with mental disorders cannot cooperate with the operation and cannot perform renal biopsy. (10) In obese patients or patients with severe edema, percutaneous renal biopsy is generally not performed due to the difficulty in localization and puncture of B-ultrasound, and the low success rate. (11) Harm of renal puncture? It is difficult for patients with high ascites to lie prone with puncture. At the same time, if the puncture needle is mistakenly inserted into the abdominal cavity, the ascites may leak along the puncture tract and even cause secondary infection. Therefore, renal puncture must be performed after the ascites has been eliminated. (12) Renal puncture cannot be performed in the third trimester of pregnancy.

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