31例肾损伤合并其他脏器损伤的诊治

Diagnosis and Treatment for Renal Trauma Complicated with Other Organs Imury(A Report of 31 Cases)

目的 :总结肾损伤合并其他脏器损伤的诊治体会 ,提高诊治效果。方法 :回顾分析 31例肾损伤及其合并伤的临床资料。结果 :B超检查 17例 ,14例 (82 .3% )有异常表现 ;CT检查 12例 ,诊断符合者 11例 (91.6 % )。本组病例保守治疗 15例(48.4 % ) ,手术治疗 16例 (5 1.6 % ) ,死亡 2例 (6 .4 % )。结论 :(1)B超检查快捷、无损伤 ,但准确性稍差 ;CT检查准确 ,并能了解肾脏及其他脏器损伤程度。 (2 )对合并伤的伤情评估要全面、准确 ,疑有腹腔脏器损伤者 ,应尽早探查 ,防止遗漏。

Objective: To study the characteristic of renal trauma with other organs injury and elevate the effect of treatment. Methods: 31 patients with renal trauma and other organs injury were analyzed retrospectively. Results: 14 patients( 82.3% ) have positive results in 17 patients received B ultrasound examination; 11 patients(91.6%) have positive results in 12 patients received CT examination. 15 patients(48.4%) received conservative management when 16 patients(51.6%) received operation. The mortality is 6.4%(2/31) in all patients. Conclusion: (1) scan Ultrasonography is quick, noninvasive and useful, but less accurate .Computed Tomography (CT) is the modality of choice in the evaluation of blunt renal trauma and other organs injury. (2) It is important to evaluate the situation of patients accurately. Earlier exploration is necessary when intraperitoneal injury suspected.