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[泌尿生殖系统孤立性创伤与合并伤的治疗结果]

[Results of treatment of isolated and combined trauma of urogenital system].

作者信息

Dovlatian A A, Cherkasov Iu V

出版信息

Khirurgiia (Mosk). 2003(5):53-8.

PMID:12792963
Abstract

Retrospective analysis of treatment results of 608 patients with trauma of organs of urogenital system (UGS) was carried out. Beating was the cause of trauma in 55% cases, fall from height--in 17%, transport trauma--in 14.3%, knife wound--in 4.4%, gunshort wound--in 1.3%. Isolated trauma of UGS was in 481 (79.1%) patients. In other patients combined injury of UGS with injury of skeleton's bones (53), cranium and brain (25), abdominal organs (20) was diagnosed. In 29 patients severe combined trauma of UGS, abdominal organs, skeleton bones and cranium was seen. Surgeries were performed in 267 patients. Surgeries on kidney and urinary bladder due to their disruption predominated. In 44 patients these surgeries were combined with ones on abdominal organs. Surgery was performed in two stages in 25 patients with combined trauma of UGS and other organs. From 608 patients 552 (90.2%) cured. Lethal outcome was in 56 (9.2%) patients due to progressive traumatic shock.

摘要

对608例泌尿生殖系统(UGS)器官创伤患者的治疗结果进行了回顾性分析。55%的病例创伤原因是殴打,17%是高处坠落,14.3%是交通创伤,4.4%是刀伤,1.3%是枪伤。481例(79.1%)患者为UGS孤立性创伤。其他患者诊断为UGS合并骨骼损伤(53例)、颅脑损伤(25例)、腹部器官损伤(20例)。29例患者出现UGS、腹部器官、骨骼和颅脑的严重复合伤。267例患者接受了手术。因肾脏和膀胱破裂而进行的手术占主导。44例患者这些手术与腹部器官手术联合进行。25例UGS与其他器官复合伤患者分两期进行手术。608例患者中552例(90.2%)治愈。56例(9.2%)患者因进行性创伤性休克死亡。

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