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我院自1985年1月～1999年3月共收治肾损伤病人8例.现将诊治体会报告如下:1 临床资料本组86例中.男性74例.女性12例.年龄8～61岁.平均年龄29.4岁.左肾损伤46例.右肾损伤38例.双肾损伤2例闭合性损伤75例.开放性损伤11例.临床表现:休克19例,肉眼血尿54例.镜下血尿28例.无血尿4例.伤侧腰痛72例.腰部饱满或包块17例.腹膜刺激症25例.合并伤13例.其中肝脾破裂6例.物骨骨折3例,颅脑损伤2例,椎体及骨盆骨折各1例.71例肾B超检查:提示肾挫伤47例.肾裂伤16例.肾周血肿6例,静脉肾盂造影5例,阳性3例:25例CT扫描:肾挫伤11例.肾破裂伤14例,其中合并拜破裂3例,脾破裂2例.2 治疗方法与结果
Our hospital from January 1985 to March 1999 were treated 8 cases of renal injury patients now diagnosis and treatment report as follows: 1 Clinical data of 86 cases in this group, 74 males and 12 females, aged 8 to 61 years. The average age of 29.4 years old.Right kidney damage in 46 cases.Right kidney injury in 38 cases.Double kidney injury in 2 cases of closed injury in 75 cases.Open injury in 11 cases.Clinical manifestations: shock in 19 cases, gross hematuria in 54 cases. Microscopic hematuria 28 Cases of hematuria in 4. Sick side of low back pain in 72 cases.Lumbic full or mass in 17 cases.Peritoneal irritation in 25 cases.Combined with injury in 13 cases.Health of spleen in 6 cases.Other bone fracture in 3 cases, head injury in 2 cases , Vertebral body and pelvic fractures in each case 1. 71 cases of renal B ultrasound examination: prompted renal contusion in 47 cases.Lylous dehiscence in 16 cases.The perirenal hematoma in 6 cases, intravenous pyelography in 5 cases, positive in 3 cases: 25 cases CT scan: Kidney contusion in 11 cases. Kidney rupture in 14 cases, including 3 cases of rupture and spleen rupture in 2 cases.2 Treatment methods and results