肾损伤的诊断与治疗

Kidney damage diagnosis and treatment

目的：总结肾损伤的诊治体会，提高诊治效果，减少肾切除率。方法：回顾性分析73例肾损伤患者的临床诊治资料，其中肾挫伤45例，肾裂伤21例，肾粉碎伤7例，合并伤13例。血尿和腰腹部疼痛为其主要临床症状。结果；2例重度肾损伤因复合伤，顽固性休克者入院不久死亡，2例转院，69例痊愈出院，其中非手术治疗52例；手术治疗17例。结论：B超和CT检查是诊断肾损伤的有效方法，而且增强CT能确定损伤类型及程度，为选择治疗方案提供依据。

Objective： Summarizes the kidney damage diagnosis to realize that enhances the diagnosis effect, reduces the kidney excision rate. Methods：The review analysis 73 example kidneys damage patient＇s clinical diagnosis material, its wolffian body damp- ens 45 examples, the kidney lacerated wound 21 examples, the kidney smashing wound 7 examples, the merge wound 13 examples. Hematuria and the waist abdomen ache is its main clinical symptoms. Results：Because 2 example specific weight kidney damage the compound wound, the stubborn shock in hospital dies soon, 2 examples transfer to another hospital, 69 examples are discharged, the non--surgery treats 52 examples~ The surgery treats 17 examples. Conclusion：Tthe ultrasound and the CT inspection is diagno- ses the kidney damage the efficacious device, moreover strengthens CT to be able to determine that the damage type and the degree, are the choice therapeutic schedule provide the basis.