肾损伤的诊断和治疗（附240例报告）

The diagnosis and treatment of renal trauma

报告２４０例肾损伤的诊断和治疗。其中伴合并伤８９例（３７．０８％）。血尿轻重与肾损伤程度并不完全一致。诊断首选Ｂ超，双倍剂量ＩＶＵ及ＣＴ对诊断定性率分别为８９．４７％，１００％。手术主张经腹探查切口，利于腹腔脏器探查及伤肾处理。本组死亡１０例，分别死于休克、合并伤及合并症。

cases of renal trauma were treated from 1955 to 1994. Coexistent injuries were found in 89 (37.08% ). The degree of hematuria was not directly related to the extent of renal trauma. B-ultrasonography seemed to be th best in the evaluation of renal trauma while the accurate diagnosis rate of IVU and CT scanning has been 89. 47%,and 100%respectively. An abdominal incision for surgical management was helpful for the concomitantexploration of abdominal visera and the management of renal trauma. Appropriate and prompt management of shock and prevention of serious complications were the key points in the successful early management of renal trauma.