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肾脏损伤在县级医院比较常现,也易误诊,特别是在多器官复合伤时。我院自1976～1995年共收治220例,报告如下。 1.临床资料 本组男164例,女56例。年龄5～64岁。其中18～40岁138例(占6396)。直接暴力致伤194例,间接暴力致伤26例。左侧部受伤132例,右侧88例。闭合性损伤216例(98％)。 症状与体征:血尿216例(占98％)。其中肉眼血尿142例。出现患侧疼痛202例(占91％)。有腹膜刺激症状者60例。66例行腹腔穿刺,抽出血性液体者44例。手术42例,术后死亡2例,未手术死亡2例。 合并损伤:伴有胸部开放伤4例,合并腹部脏器伤36例,其中合并2个脏器或组织伤30例,4个以上者2例。
Kidney damage is more common in county hospitals and is also misdiagnosed, especially when multiple organ-complex injuries occur. Our hospital since 1976 ~ 1995 a total of 220 cases were treated, the report is as follows. 1. Clinical data The group of male 164 cases, 56 females. Age 5 to 64 years old. Of which 18 to 40 years old in 138 cases (6396). 194 cases of direct violence and 26 cases of indirect violence. 132 cases were injured on the left side and 88 cases were on the right side. 216 cases of closed injury (98%). Symptoms and signs: 216 cases of hematuria (98%). 142 cases of gross hematuria. There were 202 cases of ipsilateral pain (91%). There are 60 cases of peritoneal irritation symptoms. 66 cases of abdominal puncture, remove bloody fluid in 44 cases. 42 cases of surgery, 2 cases of postoperative death, 2 cases of non-surgical death. Combined injury: open chest injury in 4 cases, combined with abdominal injury in 36 cases, which merged two organs or tissue injury in 30 cases, more than 4 in 2 cases.