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Acute kidney injury (AKI) is one of the most prevalent postoperative organ
injuries, and it is associated with increased risk of death and length of hospital stay.
Risks factors for postoperative AKI include advanced age, major surgery and a lower
baseline of estimated GFR (eGFR). However, the early diagnosis of postoperative
AKI remains quite a challenge due to the lack of instantaneously and early change in
the amount of urine output and serum creatinine data. AKI patients are more likely to
develop fluid overload, resulting in fluid accumulation and edema. Lower extremity
edema is a common problem in patients with AKI, causing decreased physical
function and reduced movement. In our case, this 68-year-old female had undergone
surgical intervention of the tumor resection and nephrectomy. After surgery, the
patient developed symptoms of decreased renal function and generalized edema. The
patient still has symptoms of lower extremity edema after taking diuretics. Therefore,
the patient requested to be transferred to other hospital for further treatment and
consultation with Chinese medicine as integrated treatment. After receiving traditional
Chinese medicine treatment, the patient’s edema subsided significantly, and lost 8 kg
of body weight as well. When discharged, the patient could get out of bed freely and
have a better quality of life. The therapeutic efficacy of this case was excellent to take
as a reference for clinicians: another choice for poor diuretic response in patients with
edema. The detailed history of this case is as follows.
【Keywords】radical nephrectomy; lower extremity edema; integrative traditional
Chinese and western medicine; acupuncture; Shen Zhuo Tang
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254.8 針灸與中藥併用改善住院病人右腎全切除後雙下肢水腫之病例報告
