Scott Department of Urology, Baylor College of Medicine, Houston, TX 77030, USA.
Urol Clin North Am. 2013 Aug;40(3):343-50. doi: 10.1016/j.ucl.2013.04.003. Epub 2013 Jun 29.
This article discusses the evaluation and management of genitourinary system trauma in the critically injured patient. Injuries to any of the organs in the genitourinary system can be managed with a damage control strategy. Often, there is little or no preoperative imaging or injury staging, and these injuries are diagnosed intraoperatively. Finally, specific management strategies of renal, ureteral, bladder, urethral, and genital injuries are discussed.
本文讨论了危重症患者泌尿生殖系统创伤的评估和处理。泌尿生殖系统任何器官的损伤都可以采用损伤控制性策略进行处理。通常,术前影像学检查或损伤分期很少或根本没有,这些损伤是在术中诊断的。最后,讨论了肾、输尿管、膀胱、尿道和生殖器损伤的具体处理策略。