闭合性肾损伤的诊断与治疗  

作　　者：王庆相[1] 顾海[1] 秦勇[1] 

机构地区：[1]杭州市红十字会医院泌尿外科,310003

出　　处：《浙江临床医学》2006年第6期574-575,共2页Zhejiang Clinical Medical Journal

摘　　要：目的总结闭合性肾损伤的诊断与治疗。方法对125例闭合性肾损伤患者的临床资料进行回顾性分析。结果125例闭合性肾损伤患者中,肾挫伤75例、肾裂伤41例、肾粉碎伤9例,其中并发伤70例。血尿和腰部疼痛是主要的临床症状。保守治疗93例,手术治疗32例,无死亡病例。结论B超和CT检查是诊断闭合性肾损伤安全有效的方法。对伤情作出快速而准确的评估,及时严格掌握手术时机是治疗闭合性肾损伤的关键。Objective To evaluate the diagnosis and treatment of closed renal trauma. Methods 125 causes of closed renal trauma were studied retrospectively. Results Of all 125 cases, there were 75 cases of renal contusion, 41 renal laceration and 9 renal comminution, and 70 cases were complicated with other organs injury, Hematuria and flank pain were mian symptoroes. 93 patients received conservative treatment and 32 patients underwent operation. No cases died. Conclusion B - ultrasonograly and CT are safe and effective means for the diagnosis of closed renal trauma, The most important thing for the treatment of clesed renal trauma are to evaluate the severity of injury quickly and accurately and to make operation decison strictly and timely,

关 键 词：肾损伤 诊断 治疗 

分 类 号：R699[医药卫生—泌尿科学]