CAJ | 학술논문

自1979年1月至1991年12月共收治儿童闭合性肾损伤68例.5岁以下7例,5+～14岁61例.重型25例,轻型43例.肾切除7例,暂时性肾造瘘术4例,渗尿血肿引流术4例.认为肾外伤处理应及时正确判定肾脏损伤程度.根据临床表现结合B超和静脉尿路造影常可作出肾外伤程度综合判断.
자1979년1월지1991년12월공수치인동폐합성신손상68례.5세이하7례,5+～14세61례.중형25례,경형43례.신절제7례,잠시성신조루술4례,삼뇨혈종인류술4례.인위신외상처리응급시정학판정신장손상정도.근거림상표현결합B초화정맥뇨로조영상가작출신외상정도종합판단.
From Jan.1979 to Dec.1991,68 children with blunt renal trauma were treated in Tainjing Children's Hospital.Seven cases were 3 mons to 4 yrs old and 61 cases between 5 yrs to 14 yrs of age.There were fortythree cases with minor injuries and 25 cases with major injuries.Fifteen cases were operated on and the operation were as follows:nephrectomy (7),nephrostomy (4),perirenal drainage(4).The nephrectomy rate was10.3% in the whole group (68 cases) but 20.8% in the group of major injuries (25 cases).Five cases had congenital renal malformations (horseshoe kidney 1;PUJ obstruction 4).The authors suggest that the management of renal trauma depends on an accurate determination of the extent of renal injury.The diagnosis and treatment of renal injuries are discussed in the text.