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目的：为了提高小儿后尿道损伤的急症救治水平。方法：对２１例小儿后尿道损伤病例进行回顾性分析和总结，男１４例，女７例。全部为车祸致后尿道损伤，其中９０．４％伴骨盆骨折和休克。本组１４例在抗休克后急症行尿道断端吻合。结果：１４例急症吻合者１３例Ⅰ期治愈。其他方法急症处置７例，Ⅰ期治愈仅２例。全部病例获得随访，无明显后遗症。结论：小儿后尿道损伤在纠正休克后应积极早期行尿道吻合术，因早期吻合可减少尿道狭窄的发生以及Ⅱ期手术给患儿所带来的痛苦。对于经抗休克后生命体征不稳定者，急症尿道吻合的指征应从严掌握
Objective: In order to improve the emergency treatment of pediatric urethral injury. Methods: 21 cases of pediatric posterior urethral injury were retrospectively analyzed and summarized, 14 males and 7 females. All caused after the car accident urethral injury, of which 90.4% with pelvic fractures and shock. The group of 14 cases of acute urethral anastomosis after anti-shock. Results: Thirteen patients with acute anastomosis were cured in the first phase. Other methods of emergency treatment in 7 cases, Ⅰ only 2 cases of cure. All cases were followed up, no obvious sequelae. CONCLUSION: After urethral injury in pediatric patients, early urethral anastomosis should be performed after correcting shock. Early urethral anastomosis can reduce the occurrence of urethral stricture and the pain caused by operation of stage Ⅱ. For anti-shock after the instability of vital signs, emergency urinary tract anastomosis indications should be strictly controlled