摘要
１９８７年１月～１９９４年１２月收治肾损伤１７１例，其中闭合性损伤１６２例（９４．７％），１５８例（９２．４％）患者有血尿。对１１６例（６８．０％）患者行Ｂ超、ＩＶＵ、ＣＴ等影像学检查。本组保守治疗１３９例（８１．０％），手术治疗３２例（１９．０）。１６６例患者痊愈出院，死亡５例（２．９％），均为多器官损伤并有休克的患者。５０例（３０．０％）患者随访１～５年，肾功能均正常。认为ＣＴ可较准确地诊断肾损伤程度，并可同时了解腹腔脏器损伤情况，Ｂ超可用以轻伤者筛选诊断。手术治疗应掌握探查肾脏的时机，是否切除伤肾应以挽救患者生命为前提。肾脏原有病变亦是肾损伤的病因之一，应注意这类病理性肾损伤的诊断与治疗。
From 1987 to 1994,171 cases of renal trauma were met with,of which162(94.7%)were suffered from blunt trauma. 92.4 % of the patients presented hernaturia,macroscopic or microscopic. B-ultrasonography,IVU and CT scanning were undertaken.in 116.Surgical management was carried out in 32( 19.0%).5patients died of shock and coexistant injury of other organs. 50 cases(30.0%)have been followed up for 1～5years.CT scanning has been the most reliable in evaluating the extent of the renal trauma and to detect any coexistent injury to abdominal organs.B-ultrasonography was mainly adopted in cases of minor renal injury. The key point in management is to decide whether surgical exploration is needed.An abnormal kidney is more likely to be injured and more attention is mandatory for its diagnosis and treatment.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1996年第6期353-355,共3页
Chinese Journal of Urology
