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闭合性肾损伤的临床分析 被引量:2

Clinical analysis of the blunt renal trauma
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摘要 目的:总结闭合性肾损伤的诊治体会,提高肾损伤的诊治效果。方法:回顾性分析124例闭合性肾损伤患者的临床资料。结果:124例闭合性肾损伤中,保守治疗96例(77.4%),超选择性肾功脉栓塞治疗2例(1.6%),手术治疗26例(21%),其中14例同时施行了腹部合并伤手术。死亡2例,死亡率1.6%。结论:B超、CT是诊断肾损伤主要的、有效的方法,大剂量IVU亦是重要的措施。 Objective:to summarize the experiences of diagnopsis and treatment in the blunt renal trauma,for increasing diagnostical level and therapeutical results of the renal trauma. Methods:The clinical data of 124 patients with the blunt renal trauma were analysed retrospectively. Results:of 12,1 cases of the blunt renal trauma, 96 were underwent conservative management(77.4%),2 were received supra-selectively renal arteral embolization(1.6%),while of 2,1 cases were administered with surgery(21.4%),14 associated with intra-abdominal injuries. At last,2 died of the renal renal injuries,accounting for 1.6%. Conclusion:Ultrasound type B plus CT scaning are important and effective techniques for diagnosis of the kindy injury. The high-dose intravenous pyelogram remains an excellent tool for assessing renal trauma.
出处 《重庆医科大学学报》 CAS CSCD 2008年第11期1400-1401,共2页 Journal of Chongqing Medical University
关键词 肾损伤 诊断 治疗 Renal trauma Diagnosis Treatment
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