Do patients with chronic renal failure have the need for renal biopsy?

Renal biopsy can clearly define the cause of chronic renal failure, and the cause of chronic renal failure is numerous, and the treatment of the cause is one of the most effective measures to delay the disease. It is reported that the risk of severe complications of renal biopsy in patients with chronic renal failure is very high. Therefore, the clinical diagnosis of the disease is often no longer, the treatment can only take a more conservative approach. But it is clear that the etiology of chronic renal failure has the following clinical significance:
1 avoid blind use of immunosuppressive agents.
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There is a large number of proteinuria in the stage of chronic renal failure and a large number of patients with primary glomerulonephritis patients with immunosuppressive treatment of the event often occur. But this time the immune inhibitor is not good, but may aggravate the disease, even cause serious infection, leading to the death of the patient.
2 to treat secondary glomerulonephritis in time.
To take active treatment for this disease, it can be stable and even reverse renal function.
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3 time treatment of chronic interstitial nephritis.
It is often thought that glomerular nephritis is the main cause of chronic renal failure. But there are data show that in the cause of chronic renal failure, the proportion of chronic interstitial nephritis is increasing. The chronic renal failure caused by chronic interstitial nephritis is mainly manifested by acidosis, loss of potassium and sodium, so the treatment should pay attention to correct acidosis and electrolyte disorders, and prevent the development of renal failure due to insufficient blood volume. In addition, the diagnosis of chronic interstitial nephritis should be stopped after the drug may cause kidney damage, which is helpful to the stability of kidney.

Therefore, chronic renal failure is not equal to end-stage renal failure, a definitive diagnosis by renal biopsy, active treatment, some patients can even get rid of dialysis or renal transplantation of bad luck.