钝性伤伴泌尿系损伤的及时诊断仍有困难。因其直接关系到失血、尿外渗、肾实质损害或感染以及远期后遗症(高血压和肾功能不全)。多年来,静脉肾盂造影(IVP)是诊断腹部钝性伤有无泌尿系合并伤的重要手段,但在时机和指征的掌握上,各家意见颇不一致。作者等回顾美国西雅图一创伤中心1年间156例钝性伤 Blunt injury with urinary tract injury is still difficult to diagnose. Because of its direct relationship to blood loss, extravasation, renal parenchymal damage or infection, and long-term sequelae (hypertension and renal insufficiency). Over the years, intravenous pyelography (IVP) is an important means of diagnosis of blunt traumatic abdominal injury with or without urinary tract injury, but in the grasp of the timing and indications, the opinions are quite different. The authors reviewed 156 cases of blunt trauma in a one-year Seattle-based trauma center in the United States