Respiratory manifestations of chronic renal failure

Progression of renal failure can be divided into acute and chronic, acute renal failure quickly, usually in short supply due to renal blood flow (such as trauma or burn), renal function due to some factors obstruction caused by damage or poison damage caused acute renal failure produce.

Chronic renal failure uremia respiratory system, due to metabolic acidosis, often caused by pulmonary hyperventilation, big and deep breathing or tidal breathing. Pulmonary edema is common, there are generally two types: one is secondary to congestive heart failure; the other due to the increased permeability of the pulmonary microcirculation, tiny blood vessels in the lungs and between the solute and liquid exchange between the quality does not appear balance, water filtration into the lung mass in excess of the amount which results in the lungs caused by water retention.

The former type, dialysis treatment has a good effect, pulmonary edema can disappear within a short time, the effect of the latter than the former dialysis. Chronic renal failure, chest X-ray visible hilar sides appear symmetrical butterfly-shaped shadow, called uremia lungs. 15% to 20% of patients with chronic renal failure, pleurisy, fluid was leaking or bloody, can occur unilateral or bilateral, its formation mechanism is not yet clear, it may be related to uremia "toxic" material damage as well as inflammation of membrane transporter occurrence. Hemodialysis patients, the larger the amount of heparin, can increase the generation of bloody pleural effusion. Niaowei exhaled gases, susceptible to bronchitis, pneumonia.

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