Yao J
Second People's Municipal Hospital of Huzhou, Zhejiang.
Zhonghua Wai Ke Za Zhi. 1992 Dec;30(12):744-6, 779-80.
157 renal injury cases (22.2%) of 708 blunt abdominal injury cases admitted at our hospital from January, 1981 to April, 1991 were evaluated. The results suggested that large dose IVP have certain limitations, while modern ultrasound findings have important practical value. We think that the patients with renal injury more than 3 degree must be operated immediately. Nephrectomy may be considered on injured kidney if the contralateral renal function is normal, in order to avoid late complications. In cases of using inosine, dopamine and large furosemide during operation, the time lag of indicamine presenting in urine is helpful for judging and protecting contralateral renal function.
对我院1981年1月至1991年4月收治的708例腹部钝性伤患者中的157例（22.2%）肾损伤病例进行了评估。结果表明，大剂量静脉肾盂造影有一定局限性，而现代超声检查结果具有重要的实用价值。我们认为，肾损伤超过3度的患者必须立即手术。如果对侧肾功能正常，对损伤的肾脏可考虑行肾切除术，以避免晚期并发症。术中使用肌苷、多巴胺和大剂量呋塞米时，尿液中靛卡明出现的时间延迟有助于判断和保护对侧肾功能。
