Bent C, Iyngkaran T, Power N, Matson M, Hajdinjak T, Buchholz N, Fotheringham T
Department of Diagnostic Imaging, Barts and The London NHS Trust, London, UK.
Clin Radiol. 2008 Dec;63(12):1361-71. doi: 10.1016/j.crad.2008.03.011. Epub 2008 Jun 26.
Blunt renal trauma is the third most common injury in abdominal trauma following splenic and hepatic injuries, respectively. In the majority, such injuries are associated with other abdominal organ injuries. As urological injuries are not usually life-threatening, and clinical signs and symptoms are non-specific, diagnosis is often delayed. We present a practical approach to the diagnosis and management of these injuries based on our experience in a busy inner city trauma hospital with a review of the current evidence-based practice. Diagnostic imaging signs are illustrated.
钝性肾损伤是腹部创伤中仅次于脾损伤和肝损伤的第三常见损伤。大多数情况下,此类损伤与其他腹部器官损伤相关。由于泌尿系统损伤通常不会危及生命,且临床体征和症状不具特异性,诊断往往会延迟。我们根据在一家繁忙的市中心创伤医院的经验,并结合当前循证医学实践,提出一种针对这些损伤的诊断和处理的实用方法。文中展示了诊断性影像学征象。