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目的 :探讨肾脏闭合性重型损伤的诊断和治疗。方法 :分析了 1985～ 1999年间收治的 17例诊治资料。结果 :按Sargent分类 ,Ⅲ类肾损伤 16例 ,Ⅳ类肾损伤 1例。B超诊断准确率为 85 .6 % ,CT为 10 0 %。保守治疗 1例 ,手术治疗 16例。本组死亡 1例 ,术后继发性出血 1例 ,感染 2例。 10例随访 5～ 8年 ,发现肾高血压1例 ,伤肾积水 2例。结论 :认为肾脏闭合性重型损伤常有腹膜炎表现 ,B超可作为常规性筛选检查 ,CT能准确判断伤情 ,是手术探查的重要依据。首先处理威胁生命最严重的损伤。尽可能保留有功能的肾组织
Objective: To investigate the diagnosis and treatment of closed renal damage. Methods: The data of 17 cases treated between 1985 and 1999 were analyzed. Results: According to the classification of Sargent, 16 cases of type Ⅲ renal injury and 1 case of type Ⅳ renal injury. The diagnostic accuracy of B ultrasound was 85.6% and CT was 100%. Conservative treatment in 1 case, surgical treatment in 16 cases. 1 patient died in this group, 1 patient had secondary hemorrhage and 2 had infection. 10 cases were followed up for 5 to 8 years, found in 1 case of renal hypertension, hydronephrosis in 2 cases. Conclusion: It is suggested that peritonitis is the most common type of severe closed renal injury. B - ultrasound can be used as a routine screening test. CT can accurately determine the injury, which is an important basis for surgical exploration. The first to deal with the most serious life-threatening injuries. Retain functional renal tissue as much as possible