Stables D P, Fouche R F, de Villiers van Niekerk J P, Cremin B J, Holt S A, Peterson N E
J Urol. 1976 Mar;115(3):229-33. doi: 10.1016/s0022-5347(17)59151-x.
Sixteen cases of unilateral and 5 cases of bilateral traumatic renal artery occlusion caused by avulsion or thrombosis are presented. The injury typically follows automobile-pedestrian accidents to young male subjects. Associated extrarenal injuries are usual but non-pedicle renal injury is infrequent. Suspicion of the unilateral injury depends upon recognition of absence of visible excretion at urography. The clue to bilateral occlusion is anuria. Diagnosis is confirmed by urgent arteriography. Hematuria was absent in 24 per cent and the injury was missed at laparotomy in 29 per cent of the initial explorations. Renal function was salvaged by arterial reconstruction in 2 cases, 12 hours and 5 months after injury respectively. Hypertension developed in 50 per cent of the cases and was generally mild.
本文报告了16例因撕脱或血栓形成导致的单侧创伤性肾动脉闭塞以及5例双侧创伤性肾动脉闭塞病例。这种损伤通常发生在年轻男性行人遭遇汽车碰撞事故之后。通常伴有肾外损伤，但非肾蒂肾损伤并不常见。怀疑单侧损伤依赖于静脉尿路造影时发现无可见排泄。双侧闭塞的线索是无尿。通过紧急动脉造影确诊。24%的病例无血尿，29%的初次探查在剖腹手术时漏诊了损伤。分别在损伤后12小时和5个月，通过动脉重建挽救了2例患者的肾功能。50%的病例发生了高血压，且通常较轻。
