Persistent systemic edema

Introduction Systemic persistent edema refers to excessive accumulation of body fluids in the interstitial space of the systemic blood vessels, which is one of the common clinical symptoms. Edema is a manifestation of systemic gasification dysfunction, and is closely related to the lungs, spleen, kidney, and trifocal organs. According to the different symptoms, it is divided into Yangshui and Yinshui. It is common in nephritis, pulmonary heart disease, liver cirrhosis, nutritional disorders and endocrine disorders. The disease is seen in a variety of pathological conditions, such as secondary feeding deficiency (appetite deficiency gastrointestinal disorders in sexually anorexia severe diseases, pregnancy vomiting, neurological disorders, oral disorders, etc.), digestive dysfunction (digestive juice is insufficient for intestinal peristalsis Reduce, etc.).

Cause

1. Congestive heart failure constrictive pericarditis caused by various causes such as heart rheumatism, hypertension, syphilis and various diseases such as valvular myocardium.

2, renal acute glomerulonephritis, chronic glomerulonephritis, nephrotic syndrome, pyelonephritis, renal failure, renal atherosclerosis, renal tubular disease.

3, liver cirrhosis, liver necrosis, liver cancer, acute hepatitis and so on.

4, malnutrition

1 The primary food is under-received and is seen in hunger caused by war or other causes (such as severe famine).

2 secondary dystrophic edema, seen in a variety of pathological conditions, such as secondary feeding inadequate (appetite deficiency gastrointestinal disorders in sexual anorexia severe disease, pregnancy vomiting, neurological disorders, oral disorders, etc.), digestive dysfunction (digestive juice Insufficient intestinal peristalsis, reduced absorption area, etc.), excessive excretion or loss (large area burns and exudation of acute or chronic blood loss, proteinuria, etc.), as well as protein synthesis, damage to severe diffuse liver disease.

an examination

Related inspection

Blood routine kidney ultrasound

In the morning, only the performance, eyelid or facial edema, often kidney disease patients. Edema is limited to the upper thoracic, accompanied by venous dilatation, can be seen in the superior vena cava compression, at this time should pay attention to whether there are swollen lymph nodes in the neck. When the upper body has persistent and progressive edema, it should be thought of the compression of the superior vena cava, such as mediastinal tumor ascending aortic aneurysm and thrombosis and other neck edema, common in erysipelas, Lu Dewei, angina. Edema in the waist and abdomen of the chest, such as accompanied by tenderness and fever, often suggesting empyema around the chest.

Differential diagnosis

Differential diagnosis of systemic persistent edema:

1, cardiogenic edema: edema is the first appearance in the body sagging area, such as bedridden patients with edema first appeared in the ankle. At the same time accompanied by the performance of right heart failure, such as jugular vein engorgement, hepatomegaly and so on.

2, renal edema: edema is characterized by early eye disease and facial edema in the early morning, and later developed into systemic edema. Often accompanied by changes in urine, high blood pressure and kidney damage.

3, hepatogenic edema: mainly ascites, edema first appeared in the ankle, gradually spread upward, facial and upper limbs often edema. Clinical manifestations of liver dysfunction and portal hypertension.

4, malnutrition edema: edema often begins from the foot and gradually spread throughout the body. Before edema occurs, there are often manifestations of weight loss and weight loss.

5, mucinous edema: seen in juvenile and adult type hypothyroidism. It is characterized by depression, which is more obvious in the face and lower limbs.

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