安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
JOURNAL OF ANHUI HEALTH VOCATIONAL & TECHNICAL COLLEGE
2013年
6期
31-32
,共2页
肾损伤%脾破裂%诊断%治疗
腎損傷%脾破裂%診斷%治療
신손상%비파렬%진단%치료
Renal injury%Splenic rupture%Diagnosis%Treatment
目的：总结32例肾损伤并脾破裂的诊断与治疗。方法：对32例肾损伤并脾破裂临床资料进行分析。结果：32例肾损伤并脾破裂患者中，保守治疗2例，手术治疗30例（脾切除8例，肾修补+脾切除12例，肾切除+脾切除6例，肾部分切除+脾切除4例），均痊愈出院。结论：肾损伤合并脾破裂诊断主要依靠外伤史、临床表现、尿检、B超和CT。Ⅲ级以上肾损伤即可考虑手术探查，手术治疗要尽可能保留肾功能。
目的：總結32例腎損傷併脾破裂的診斷與治療。方法：對32例腎損傷併脾破裂臨床資料進行分析。結果：32例腎損傷併脾破裂患者中，保守治療2例，手術治療30例（脾切除8例，腎脩補+脾切除12例，腎切除+脾切除6例，腎部分切除+脾切除4例），均痊愈齣院。結論：腎損傷閤併脾破裂診斷主要依靠外傷史、臨床錶現、尿檢、B超和CT。Ⅲ級以上腎損傷即可攷慮手術探查，手術治療要儘可能保留腎功能。
목적：총결32례신손상병비파렬적진단여치료。방법：대32례신손상병비파렬림상자료진행분석。결과：32례신손상병비파렬환자중，보수치료2례，수술치료30례（비절제8례，신수보+비절제12례，신절제+비절제6례，신부분절제+비절제4례），균전유출원。결론：신손상합병비파렬진단주요의고외상사、림상표현、뇨검、B초화CT。Ⅲ급이상신손상즉가고필수술탐사，수술치료요진가능보류신공능。
objective:To summarize the diagnosis and treatment of traumatic renal injury and splenic rupture. Methods:Analysis was made in the clinical data of 32 patients with traumatic renal injury and splenic rupture. Results:Among those cases,2 received the non-surgical treatment, 30 received the surgical treatment (8 received splenectomy, 12 received renal neoplasty+splenectomy,6 received nephrectomy+splenectomy,4 received partial nephrectomy+splenectomy), all healed and discharged. Conclusion:The diagnosis of traumatic renal injury and splenic rupture de-pends on the surgical trauma history, clinical manifestation, urine test, B ultrasonography and CT examination. Renal injury of gradeⅢand upwards can consider exploratory operation. During the operation, efforts should be made to preserve the renal function.
