Bochniewska Violetta, Goszczyk Alina, Jurkiewicz Beata, Jung Anna
Wojskowy Instytut Medyczny w Warszawie, Klinika Pediatrii, Nefrologii i Alergologii Dzieciqcej.
Pol Merkur Lekarski. 2008;24 Suppl 4:5-9.
In recent years the number of children hospitalised due to multi-organ injuries, including kidney injuries, has systematically risen. The aim of the article is to present the history of illness of three boys with kidney injuries, as well as to analyse the impact of the variety of symptoms and their consequences on the choice of treatment. Frequency of kidney injuries in children coupled with the lack of correlation between the extent of the injury, severity of kidney damage, clinical symptoms and the presence or the lack of haematuria, requires that ultrasound examination of abdominal cavity is carried out in every case of every child with an injury, not just in cases of injuries to the abdominal cavity, followed by a more detailed imaging diagnostics if necessary. At present, computer tomography should be treated as the treatment method of choice in all patients with multiorgan injuries. Children with kidney injuries should be treated according to world standards and nephrectomy should be limited to chosen cases.
近年来，因包括肾损伤在内的多器官损伤而住院的儿童数量呈系统性上升。本文旨在介绍三名肾损伤男孩的病史，并分析各种症状及其后果对治疗选择的影响。儿童肾损伤的发生率以及损伤程度、肾损伤严重程度、临床症状与血尿的有无之间缺乏相关性，这就要求对每一名受伤儿童都要进行腹腔超声检查，而不仅仅是腹腔受伤的情况，如有必要，随后进行更详细的影像学诊断。目前，计算机断层扫描应被视为所有多器官损伤患者的首选治疗方法。肾损伤儿童应按照国际标准进行治疗，肾切除术应仅限于特定病例。
