Howerton R A, Norwood S N
Keesler Medical Center, Keesler Air Force Base, MS 39534-5300.
Mil Med. 1991 Jun;156(6):311-3.
Blunt abdominal trauma which resulted in isolated avulsion of the ureter in a 19-month-old boy prompted a review of the literature to determine the pathophysiology and frequency of this injury. Fifty-four patients were identified and delay in diagnosis was the most common problem (33%). The authors discuss the controversies in management of this injury and recommend steps to ensure prompt recognition of ureteral avulsion from blunt trauma.
一名19个月大男孩因钝性腹部创伤导致输尿管孤立性撕脱，促使作者对文献进行回顾，以确定这种损伤的病理生理学和发生率。作者共识别出54例患者，诊断延迟是最常见的问题（33%）。作者讨论了这种损伤处理中的争议，并推荐了一些措施，以确保能及时识别钝性创伤导致的输尿管撕脱。
