论文部分内容阅读
目的为提高肾损伤的诊治水平。方法回顾分析 186例肾损伤的临床资料。结果血尿 167例 (90 % ) ;B超检查阳性 13 8/160例(86% ) ,CT检查阳性 5 7/61例 (93 % ) :手术治疗 3 9例 (2 1% ) ,非手术治疗 14 7例 (79% ) ,死亡 3例 (1.6% ) ,治愈 183例。结论外伤史和血尿是肾损伤诊断的主要依据。 B超和 CT是肾损伤的首选检查方法 ;严重肾损伤的处理首要原则是抢救生命 ,在保证生命安全的前提下应遵循尽可能保肾的原则。正确选择手术时机 ,阻断血供情况下探查和修复肾脏是降低重度肾损伤切肾率的关键
The purpose is to improve the diagnosis and treatment of renal injury. Methods Retrospective analysis of 186 cases of renal injury clinical data. Results Hematuria was found in 167 cases (90%). The positive results of B-ultrasound were 13 8/160 (86%) and CT positive were 57/61 (93%). Surgical treatment was performed in 39 cases (21%), 14 7 (79%), 3 deaths (1.6%) and 183 cured. Conclusion The history of trauma and hematuria are the main basis for the diagnosis of renal injury. B-ultrasound and CT is the first choice of renal damage check; severe kidney damage the first principle is to save lives, under the premise of ensuring the safety of life should follow the principle of kidney as much as possible. Correct choice of timing of surgery, blood supply to block detection and repair of the kidneys is the key to reducing the incidence of severe renal injury and cut the key