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
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
