闭合性肾损伤的诊断和外科治疗

Thediagnosisandtreatmentofbluntrenaltrauma

作者报告了２２５例闭合性肾损伤的诊断和治疗。有合并伤７９例，占３５．１１％，休克发生率为１５．５６％。双倍剂量ＩＶＵ、Ｂ超和ＣＴ的诊断符合率分别为８８．２４％、８８．１３％及１００％。２１７例痊愈，死亡８例。作者认为血尿轻重与肾损伤程度并不完全一致。诊断上首选Ｂ超。本组手术治疗６５例，作者认为经腹切口探查，靛胭脂试验可作为术中判断对侧肾功能的可靠依据。早期处理中及时纠正休克、预防严重并发症的发生极为重要。

patientwithbluntrenaltraumaweretreatedfrom1955to1994.Coexistentinjuriesofotherorganswerenotedin79patients(35.11%).Theextentofrenaltraumawasnotdemonstratedbyhematuria.B-ultrasonographyseemedtobebestforthediagnosisofrenaltrauma.Abdominalincisionwashelpfultoexploreinjuriesofotherorgansandmanagerenaltrauma.Earlytreatmentofrenaltrau-mawasnecessaryforthetreatmentofshockandpreventionofseriouscomplication.