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我院1995年8月～2001年8月对收治的28例严重闭合性肾挫裂伤患者采用非手术治疗,取得满意的效果,报告如下。1 资料与方法1.1 临床资料本组28例,男性22例,女性6例,年龄11～56岁,平均30.5岁。受伤时间1小时～3天。左侧肾18例,右侧肾9例,双侧肾1例。按Sargent方法分类:①Ⅱ类伤:单纯性肾深度裂伤6只,②Ⅲ类伤:粉碎伤、肾实质横断伤20只,多处深度裂伤伴粉碎伤3只。本组28例均有肉眼血尿,16例休克。全部病例均经CT检查确诊。合并伤26例,其中肋骨骨折10例,四肢骨折8例,脊柱骨折2例,腹腔脏器损伤8例,头部损伤4例,血气胸3例。
Our hospital from August 1995 to August 2001 admitted to the treatment of 28 cases of severe closed renal contusion patients with non-surgical treatment, and achieved satisfactory results, the report is as follows. 1 Materials and Methods 1.1 Clinical data The group of 28 patients, 22 males and 6 females, aged 11 to 56 years, mean 30.5 years. Injured time 1 hour ~ 3 days. 18 cases of left kidney, right kidney in 9 cases, bilateral kidney in 1 case. According to Sargent method classification: â ’¢ type II injury: simple renal deep laceration 6, â ... ¢ type â ... ¡injury: crush injury, renal parenchymal transection of 20, multiple deep laceration with crushing injury three. The group of 28 patients had gross hematuria, 16 cases of shock. All cases were confirmed by CT examination. There were 26 cases of combined injury, including 10 cases of rib fracture, 8 cases of limb fracture, 2 cases of spinal fracture, 8 cases of abdominal organ injury, 4 cases of head injury and 3 cases of pneumothorax.