When creatinine 230μmol/L, acute and chronic renal failure can be considered. Among them, the common causes of acute renal failure, such as urinary tract obstruction, gastrointestinal bleeding, etc., are given to relieve obstruction, blood transfusion and rehydration, etc.; chronic renal failure, need to be dealt with for the specific causes and complications, such as lowering glucose, lowering blood pressure, correcting anemia, correcting calcium-phosphorus disorders, etc., and given to renal replacement therapy, if necessary.
Creatinine in the blood is composed of two types: exogenous and endogenous. Under normal circumstances, the production and metabolism of creatinine are in a balanced state, and when the glomerular function decreases, the ability to process creatinine decreases, and the concentration of creatinine in the blood will increase. A creatinine of 230 μmol/L represents that a decline in renal function has occurred. Decline in renal function can be categorized into acute renal failure and chronic renal failure.
Acute renal failure can be seen in urinary tract obstruction (kidney stones, hydronephrosis), gastrointestinal bleeding, cardiac insufficiency, acute interstitial nephritis, etc. According to the specific causes, take to relieve obstruction (extracorporeal shock wave lithotripsy, surgery), etc., fluid replacement, blood transfusion, improve cardiac function, inhibit inflammation (prednisone acetate), etc., blood creatinine can generally return to normal.
Common causes of chronic renal failure such as glomerulonephritis, diabetic nephropathy and other diseases, common complications such as renal anemia, calcium and phosphorus disorders, metabolic acidosis, etc., according to the specific causes and complications to take lowering blood pressure, lowering glucose, correcting anemia, improving calcium and phosphorus disorders, correcting acidosis and other symptomatic supportive treatment.
High creatinine, it is recommended to consult a doctor in a regular hospital in time, to clarify the cause of the disease, standardize the treatment, the drug should be used under the guidance of a professional doctor.