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目的：提高闭和性肾损伤的诊断和治疗水平。方法：总结分析 闭合性肾损伤患者７８例，行Ｂ超、ＩＶＵ、ＣＴ、腹腔穿刺等检查协助诊断，行手术治疗２８例，非 手术治疗５０例。结果：Ｂ超、大剂量ＩＶＵ、ＣＴ及腹腔穿刺的诊断符合率分别为９１．１％、８７．５％ 、１００％及８４．６％。７７例痊愈，死亡１例。结论：血尿轻重与肾损伤程度不成正比。诊断应首 选Ｂ超，手术切口选择经腹探查切口。靛胭脂试验可做为术中判断对侧肾功能的可靠依据。 肾 钝性伤伴镜下血尿但无休克和严重腹腔脏器损伤者没必要作ＩＶＵ检查，早期处理中及时纠正 休克，预防严重并发症的发生极为重要。
Objective: To improve the diagnosis and treatment of closed and renal injury. Methods: A total of 78 patients with closed renal impairment were analyzed and analyzed. The diagnosis of 28 cases was performed by B-ultrasound, IVU, CT and abdominal paracentesis. Fifty cases were treated by non-surgical treatment. Results: The diagnostic rates of B ultrasound, high dose IVU, CT and paracentesis were 91.1%, 87.5%, 100% and 84.6%, respectively. 77 cases recovered, 1 died. Conclusion: The severity of hematuria is not proportional to the degree of renal injury. Diagnosis should be preferred B-ultrasound, surgical incision selection of abdominal exploration incision. Indigo rouge test can be used as a reliable basis to determine the contralateral renal function. Kidney blunt injury with microscopic hematuria, but no shock and severe abdominal injury were not necessary for IVU examination, early treatment of timely correction of shock, the prevention of serious complications is extremely important.