肾创伤占腹部创伤的8～10％,其中穿透伤之80％、钝性伤之20％伴其它腹部伤,需及时作出诊断,以决定正确的处理。否则,将延误外科治疗时机或因处理不当造成不应有的并发症乃至死亡。作者对美国旧金山总医院1977～1984年间466例疑有肾创伤中85例作CT检查,并与静脉肾盂造影(IVP)、肾断层扫描、动脉造影及剖腹探查所见进行分析比较。 85例中,钝性伤87.1％,穿透伤12.9％,CT检查时病人血压均稳定。病人常见表现为血尿、腹部触痛、骨折和胁腹部触痛。CT示肾创伤严重度与血尿程度无相关性。57例CT所见异常者,多为肾周和肾内血肿以及肾实质损伤。CT发现33例肾损伤,其中11例术前检 Kidney trauma accounted for 8 to 10% of abdominal trauma, of which 80% of penetrating wounds, 20% of blunt trauma patients with other abdominal injuries, the need for timely diagnosis to determine the correct treatment. Otherwise, it will delay the timing of surgical treatment or due to improper handling caused by unnecessary complications and even death. The author of the United States San Francisco General Hospital from 1977 to 1984, 466 cases of suspected kidney trauma in 85 patients for CT examination and intravenous pyelography (IVP), renal tomography, angiography and laparotomy seen and analyzed. Among the 85 cases, 87.1% were blunt trauma and 12.9% were penetrating wounds. The patient’s blood pressure was stable on CT examination. Common manifestations of patients with hematuria, abdominal tenderness, fractures and tenderness of the abdomen. CT showed no correlation between the severity of renal trauma and hematuria. 57 cases of CT abnormalities were seen, mostly perirenal and intrarenal hematoma and renal parenchymal injury. Thirty-three renal injuries were detected by CT, including 11 preoperative examinations