论文部分内容阅读
目的 :总结闭合性肾损伤的诊断与治疗。方法 :对 1 32例闭合性肾损伤的临床资料进行回顾性分析。结果 :1 32例闭合性肾损伤中 ,肾挫伤 96例 ,肾裂伤 2 1例 ,肾粉碎伤 1 5例 ,并发伤 36例。血尿、腰部疼痛是主要的临床症状。保守治疗 87例 ,超选择性肾动脉栓塞术 6例 ,手术治疗 39例。死亡 6例。结论 :B超和CT检查是诊断肾损伤的有效方法。迅速而准确的伤情评估 ,严格掌握手术时机是治疗闭合性肾损伤的关键。
Objective: To summarize the diagnosis and treatment of closed renal injury. Methods: The clinical data of 132 cases of closed renal injury were retrospectively analyzed. Results: One hundred and thirty-two cases of closed kidney injury included 96 cases of renal contusion, 21 cases of kidney laceration, 15 cases of renal crushing injury and 36 cases of injury. Hematuria, waist pain is the main clinical symptoms. Conservative treatment of 87 cases, super selective renal artery occlusion in 6 cases, 39 cases of surgical treatment. 6 died. Conclusion: B-ultrasound and CT examination are effective methods to diagnose renal injury. Rapid and accurate assessment of injuries, strict control of timing of surgery is the key to the treatment of closed kidney injury.