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Therapies of Polycystic Kidney Disease

The patients should adopt conservative and supportive therapies unless they have uncommon complications.

Ordinary measures: the patients should take low-protein diets(the protein intake should be in 0.5-0.75kg/d), and take more water intake than 3000ml, receive labor depending on their body condition and avoid the heavy activities. When the patients are in loss of compensation, they should receive treatment for uremia. At that time, the hypertension should be controlled and dialysis should be remarked.

Operation: There is no evidence that removal of the cyst or reduction of the compression of the cyst can improve renal function. If a large cyst pressed the upper ureter and caused further damage on renal function, it can be removed or extract the liquid in cysts. When the degree of renal insufficiency is at the risk of life, it should be considered for dialysis treatment or kidney transplantation.

Treating for complications: Pyelone and phritis should be strictly treated to prevent further damage to renal function. When the cysts are infected, incision and drainage should be performed. When the bleeding in one side of kidney is serious, nephrectomy or renal artery embolism should be done, segmental artery embolization also can be done. Concomitant diseases (such as tumors, obstructive stones) require surgical treatment.

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