CAJ | 학술논문

作者报告肾外伤87例.年龄1岁4个月～14岁.男64例,女23例.致伤原因主要为坠落伤及车祸伤(45例).其中,10例为严重损伤,15例合并其它损伤,2例有肾母细胞瘤,3例原有先天性肾积水.90%有血尿.诊断主要依靠IVP.87例中手术15例,手术指征:①持续肾出血;②腹膜后血肿扩大或搏动性血肿;③尿外渗;④肾组织不能存活;⑤肾血管损伤.本组无死亡,但肾失率达8%.
작자보고신외상87례.년령1세4개월～14세.남64례,녀23례.치상원인주요위추락상급차화상(45례).기중,10례위엄중손상,15례합병기타손상,2례유신모세포류,3례원유선천성신적수.90%유혈뇨.진단주요의고IVP.87례중수술15례,수술지정:①지속신출혈;②복막후혈종확대혹박동성혈종;③뇨외삼;④신조직불능존활;⑤신혈관손상.본조무사망,단신실솔체8%.
Eighty-seven cages(64 boys and 23 girls) of blunt renal trauma are analyzed. Age ranged from 1 yr and 4 mons to 14 yrs. The injury of 45 cases were due to a fall or traffic accident Major renal injuries occurred in 10 cases(11.4%).Fifteen cases were aceompanied with other major injuries,2 with nephroblastoma, 3 with pelvic hydronephrosis. The accurate diagnosis of renal trauma has been increased to 98%with the help of CT scan.Operations were performed on 15 cases without mortality. A "damage rate" of renal functions appeared in 8%of the cases. It is emphasized that the indications of operation are:(1)persistent hematuria,(2)increasing hematoma in retroperitoneum,especially pulsating hematoma,(3)urinary extravazation, (4)devitalized renal fragments and(5)renal pedical tearing.