Under what circumstances do kidney puncture

What circumstances do renal puncture it. Renal puncture is a common way of invasive detection in nephrology, can be clear pathological type, to guide treatment and judgment of prognosis has great significance, so renal puncture or very important, need to do renal puncture as follows: first, atypical acute glomerulonephritis, need to do renal puncture. Second, rapid progressive glomerulonephritis, primary nephrotic syndrome and acute renal failure patients need to do renal puncture. Third, for kidney transplant kidney function decline, the cause is unclear or shows rejection, can not be clear about the next step of treatment, can also do kidney biopsy. Fourth, for typical acute glomerulonephritis patients, if treatment can not be relieved, acute renal failure needs to be performed kidney biopsy. Fifth, children and adolescents with primary nephrotic syndrome, because children and adolescents with minor lesions line or mild mesangial hyperplasia is more likely. Hormone therapy can be carried out first, regular treatment for more than eight weeks, if there is no clinical effect, kidney puncture should also be carried out.