摘要
目的讨论陈旧性重型肾损伤的诊断和治疗。方法报告２例典型陈旧性重型肾损伤病例，占重型肾损伤１％左右，讨论其诊断标准及手术适应症。结果诊断依据，必须是伤后３个月，同时有其中四大典型并发症之一，很少并有血尿、脓肾或肾周脓肿；有五种情况之一者必须手术治疗。结论陈旧性重型肾损伤属少见病，重型肾损伤短期内多由于严重并发症死亡，或已急诊手术治疗；严格把握手术适应症，原则上诊断确立后应该及时手术治疗，预后好，治愈率高，但应该行鉴别诊断，避免不必要的手术；陈旧性重型肾损伤，手术难度大，尤其右侧，注意伤及下腔静脉。
Objective:TodiscussclinicaldiagnosisandtherapyforpatientswitholdsevererenalinjuryMethods:Twotypicalcasesofoldsevererenalinjurywerereported(1%ofthewholesevererenalinjuries).Thediagnosisstandardandindicationofsurgicaltreatmentwerediscussed.Results:Theclinicaldiagnosisofoldsevererenalinjurydependedonthattherewasoneofthefourtypicalcomplications3monthslaterafterinjuryandhematuria,pyoneprosisorperirenalabscesswasrarelyoccurred.Surgicaltreatmentwasadvisedinfiveconditions.Conclusions:Oldsevererenalinjuryisnotcommonbecausethecaseofsevererenalinjurymaybeoperatedimmediatelyormaydieinashorttime.Theselectionoftherapeuticmethodisveryimportantandoncethediagnosisisestablishedsurgicaltreatmentshouldbepreformedearlyinordertoreachsatisfactoryresult.Theoperationforthesecasesarerelativelydifficultandwemustpayattentiontoprotecttheadjucentorganssuchasinferiorvenacava,especiallyforthecaseofrightrenalinjury.
出处
《福建医药杂志》
CAS
1999年第2期4-6,共3页
Fujian Medical Journal
关键词
肾损伤
陈旧性
诊断
治疗
RenaldiseaseOldWoundsandinjuries
