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31例肾损伤合并其他脏器损伤的诊治 被引量:1

Diagnosis and Treatment for Renal Trauma Complicated with Other Organs Imury(A Report of 31 Cases)
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摘要 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.
出处 《中国临床医学》 2002年第4期432-433,435,共3页 Chinese Journal of Clinical Medicine
关键词 肾损伤 多脏器损伤 诊断 治疗 Kidney Injury Diagnosis Treatment
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参考文献3

  • 1[1]Kawashima A, Sandler CM, Corl FM, et al. Imaging of renal trau ma: a comprehensive review. Radicgraphics,2001,21:557~574.
  • 2[2]Danuser H, Wille S, Zoscher G, et al. How to treat blunt kidney ruptures: primary open surgery or conservative treatment with de ferred surgery when necessary? Eur Urol, 2001,39..9~14.
  • 3[3]Mansi MK, Alkhudair WK. Conservative management with percutaneous intervention of major blunt renal injuries. Am J E merg Med, 1997,15:633~637.

同被引文献4

  • 1Santucci RA,Wessells H,Bartsch G. Evaluation and management of renal injuries:Consensus statement of the renal trauma subcomittee[J].British Journal of Urology International,2004,(07):937-954.doi:10.1111/j.1464-4096.2004.04820.x.
  • 2Danuser H,Wille S,Zoscher G. How to treat blunt kidney ruptures:primary open surgery or conservative treatment with deferred surgery when necessary[J].European Urology,2001,(01):9-14.
  • 3Mansi MK,Alkhudair WK. Conservative management with percutaneous intervention of major blunt renal injuries[J].American Journal of Emergency Medicine,1997,(07):633-637.
  • 4McGuire J,Bultitude MF,Davis P. Predictors of outcome for blunt high grade renal injury treated with conservativeintent[J].The Journal of Urology,2011,(01):187-191.

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