摘要
24年收治肾损伤83例。肉眼血尿占72.8%,肾实质伤严重者血尿明显且持续时间长。本组肾损伤分为挫伤(65.1%),裂伤(28.9%),碎裂伤(4.8%)和肾蒂伤(1.2%);非手术治疗74例(89.2%),手术治疗9例(10.8%),其中肾切除5例(6.0%)。强调X线检查对诊断和治疗的重要性。对手术治疗应采取慎重态度,尽可能使肾手术率和肾切除率有一明显的下降,以保存更多有功能的肾组织。
Eighty-three cases of renal trauma were admitted to this hospital from 1960 through 1983. Only 3 were penetrating injuries. All the patients had hematuria. The incidence and duration of hematuria were closely related to the degree of damage of the renal parenchyma. The 83 cases were classified according to the type of injury into 4 groups： 1. contusion （65.1%）; 2. laceration（28.9%）：3, fragmentation （4.8%） and 4. renal pedicle injury （1.2%） . 74 cases （89.2%） were treated conservatively. 9 cases （10.8%） were operated. Nephrectomy was done in 5 cases （6%） . Radiological examination was indispensable to the diagnosis and treatment of renal injuries. When the conditions permit, a large dose of excretory nrography （IVP） should be performed. Affirmative diagnosis was obtained in 94% of the cases. In the management of renal trauma, the incidence of operative treatment and nephrectomy is higher in our country than abroad. A prudent policy in the treatment of these patients should be observed to avoid operation and nephrectomy since all contusions and most cases of renal lacerations could heal spontaneously.
出处
《中华创伤杂志》
CAS
1985年第1期25-27,共3页
Chinese Journal of Trauma
