论文部分内容阅读
我院自1978年1月至1991年12月先后收治闭合性肾损伤共54例,本文就其诊断和治疗分析如下,并对有关问题加以讨论。临床资料男41例,女13例。年龄6～72岁,其中14～45岁29例(52.8%)。致伤原因及部位:火车或汽车车祸撞击31例,骑车摔伤5例,打架踢伤9例,剧烈运动伤1例,坠落或跌倒伤7例,医源性损伤1例。左肾26例,右肾23例,记载不详5例。临床表现:血尿52例(96.3%)。其中肉眼血尿42例,镜下血尿10例,伤侧腰痛35例,伤侧腹痛或全腹痛9例,伤侧腰部肿胀12例,入院时休克6例,出现腹膜刺激症状2例。合并损伤:合并其他部位或脏器损伤者13例(24%),其中脾破裂2例次,头部挫伤7例次,胸部
Our hospital from January 1978 to December 1991 has received a total of 54 cases of closed renal impairment, this article on its diagnosis and treatment are as follows, and to discuss the issues. Clinical data of 41 males and 13 females. Aged 6 to 72 years old, of which 14 to 45 years old in 29 cases (52.8%). Causes of injury and parts: 31 cases of train crash or car accident, 5 cases of bicycle crash, 9 cases of kick and injury, 1 case of strenuous exercise, 7 cases of falling or falling injury and 1 case of iatrogenic injury. 26 cases of left kidney, 23 cases of right kidney, unknown 5 cases. Clinical manifestations: hematuria in 52 cases (96.3%). Among them, 42 cases of gross hematuria, 10 cases of microscopic hematuria, 35 cases of injured side lumbago, 9 cases of abdominal pain or full abdominal pain, 12 cases of injured lumbar swollen, 6 cases of shock on admission, 2 cases of peritoneal irritation. Combined injury: 13 cases (24%) with other parts or organ injury, of which 2 cases of splenic rupture, head contusion in 7 cases, chest