目的：通过对５４例肾损伤诊治的回顾性分析，旨在探讨基层医院对肾损伤的诊治方法。方法：１９９４年前诊断主要依据早期血尿和大剂量静脉尿路造影，１９９４年后则依据Ｂ超和ＣＴ的检查。非手术治疗４１例，手术治疗１３例。结果：除２例因合并颅脑损伤抢救无效死亡外，其余均康复出院。提示：重病人宜采用ＣＴ检查，血压稳定者可行非手术治疗。中度肾损伤在先阻断肾蒂的情况下可降低肾切除率而行肾修补术或肾部分切除术。 Objective: To analyze the diagnosis and treatment of 54 cases of renal injury, and to explore the diagnosis and treatment of renal injury in primary hospital. Methods: The diagnosis before 1994 mainly based on early hematuria and high-dose intravenous urography, after 1994 based on B-ultrasound and CT examination. Non-surgical treatment of 41 cases, 13 cases of surgical treatment. Results: In addition to 2 patients died of brain injury due to merger died, the rest were recovered. Tip: Severe patients should adopt CT examination, stable blood pressure may be non-surgical treatment. Moderate renal injury in the case of the first block of the renal pedicle can reduce the rate of nephrectomy and kidney repair or partial nephrectomy.