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Ureteral injuries from external violence: the 25-year experience at San Francisco General Hospital.外部暴力导致的输尿管损伤：旧金山总医院25年的经验
J Urol. 2003 Oct;170(4 Pt 1):1213-6. doi: 10.1097/01.ju.0000087841.98141.85.
2
Organ injury scaling. III: Chest wall, abdominal vascular, ureter, bladder, and urethra.
J Trauma. 1992 Sep;33(3):337-9.

成人肾盂输尿管连接处完全横断。

Complete transection of the pelvi-ureteric junction in an adult.

作者信息

Walker D T, Massouh F, Barber N J

机构信息

Department of General Surgery, Frimley Park Hospital, Frimley, UK.

出版信息

Ann R Coll Surg Engl. 2010 Jul;92(5):W21-3. doi: 10.1308/147870810X12699662980150. Epub 2010 Jun 7.

DOI:10.1308/147870810X12699662980150
PMID:20529465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5696950/
Abstract

We present a unique case report of a 41-year-old man involved in a hit-and-run accident. The patient suffered a complete disruption of the pelvi-ureteric junction along with a fracture of the L3 transverse process. Occasionally seen in children, we believe this to be the first reported adult case. The report details the presentation and symptoms, with subsequent radiology. This case also demonstrates how using an effective multidisciplinary team approach and the ATLS principles, uncommon injuries can be identified and managed successfully. We revisit the classification of ureteric trauma and the accepted best surgical management.

摘要

我们报告了一例独特的病例，患者为一名41岁男性，遭遇肇事逃逸事故。该患者发生了肾盂输尿管连接处完全断裂，同时伴有L3横突骨折。这种情况在儿童中偶尔可见，我们认为这是首例报道的成人病例。本报告详细介绍了临床表现和症状，以及后续的放射学检查结果。该病例还展示了如何通过有效的多学科团队方法和高级创伤生命支持（ATLS）原则，成功识别和处理罕见损伤。我们重新审视了输尿管创伤的分类及公认的最佳手术治疗方法。