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我院自1993年7月至2005年3月共收治外伤住院病人1413例。其中肾损伤34例,占2．40％,现就其诊治情况分析报告如下。 1 临床资料 34例中,男31例,女3例,年龄25-54岁,平均44岁。致伤原因:高处坠落伤11例,挤压伤3例, 撞击伤16例,棍棒伤1例,其它伤3例。临床表现: 全组均有外伤史,病程自半小时至2天,腹部腰部疼痛者34例,恶心呕吐10例。肾区叩击痛34例,腹膜刺激征5例,肉眼血尿14例,镜下血尿20例,腹穿 4例,其中2例为不凝血,1例为脓性液,B超检查18 例,14例有明显的影像学改变,腹部X线检查10 例,有2例显示肾轮廓增大,静脉肾盂造影2例,1 例有造影剂外渗,合并伤。有5例合并骨盆骨折,其
Our hospital from July 1993 to March 2005 were hospitalized 1413 cases of trauma patients. Among them, 34 cases of renal injury, accounting for 2.40%, now on the diagnosis and treatment of its analysis report is as follows. 1 Clinical data 34 cases, 31 males and 3 females, aged 25-54 years, mean 44 years. Causes of injury: falling injury in 11 cases, 3 cases of crush injury, impact injury in 16 cases, stick injury in 1 case, other injuries in 3 cases. Clinical manifestations: All trauma history, duration from half an hour to 2 days, 34 cases of abdominal pain in lumbar, nausea and vomiting in 10 cases. 34 cases of percussion pain in the kidney area, 5 cases of peritoneal irritation, 14 cases of gross hematuria, 20 cases of microscopic hematuria and 4 cases of abdominal perforation. Among them, 2 cases were non-coagulation and 1 case was purulent fluid. 18 cases were examined by B- 14 cases had obvious imaging changes, abdominal X-ray examination in 10 cases, 2 cases showed increased renal contour, intravenous pyelography in 2 cases, 1 case of contrast agent extravasation, combined injury. There are 5 cases of pelvic fracture, which