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本文报道美国明尼苏达州—医疗中心对1969～1980年间收治的1,120例、1,132侧肾损伤患者(12例为双侧)采用外科急诊处理的结果。作者认为,采用大剂量IVP对肾损伤进行急诊X线检查,92％的病例可以明确诊断。其余8％需作进一步X线检查或剖腹探查来明确诊断。所有肾损伤中79％伴有合并伤,其中肾挫伤的75％、肾部分裂伤的88％、肾全层裂伤的94％和肾蒂损伤的100％均有合并伤。肾损伤越严重,血尿程度也相应严重,但肾蒂损伤的31％无血尿。本组病人诊断为肾挫伤者1,000例(88％),其中980例作了IVP,913例显示正常,53例疑有损伤。全部肾挫伤病例均成功地进行了保守治疗,未见明显的并发
This article reports the results of a surgical emergency treatment of 1,120 patients with renal impairment in 1,132 who were treated in the Minnesota-Medical Center between 1969 and 1980 (12 patients were bilateral). The authors believe that the use of high-dose IVP renal emergency X-ray examination, 92% of the cases can confirm the diagnosis. The remaining 8% need to be further X-ray examination or laparotomy to confirm the diagnosis. 79% of all kidney injuries were associated with combined injuries, of which 75% were renal contusion, 88% partial renal laceration, 94% renal full thickness laceration, and 100% renal pedicle injury. The more serious the kidney damage, the corresponding degree of hematuria is also serious, but 31% of the kidney injury without hematuria. The group of patients diagnosed as renal contusion in 1,000 cases (88%), of which 980 cases were IVP, 913 cases showed normal, 53 cases of suspected damage. All cases of renal contusion were successfully treated conservatively, no obvious concurrency