Cass A S, Luxenberg M
Division of Urology, Hennepin County Medical Center, Minneapolis, Minnesota.
Urology. 1990 Sep;36(3):226-7. doi: 10.1016/0090-4295(90)80260-t.
We found simultaneous upper and lower urinary tract injury to be rare, being present in 10 of 2,310 patients (0.4%). Multiple associated injuries were present in all patients (average 4.4 per patient). In 3 patients both upper and lower urinary tract injuries were minor, and 1 patient died of associated injuries. In 4 patients one of the urinary injuries was significant and the other minor, and 2 of these patients died. In 3 patients both urinary injuries were significant, and all 3 died of associated injuries. A comprehensive urologic evaluation was required in all 10 patients because of their severe associated multiple injuries.
我们发现上尿路和下尿路同时受伤的情况很罕见，在2310例患者中有10例出现这种情况（0.4%）。所有患者均存在多处相关损伤（平均每位患者4.4处）。3例患者的上尿路和下尿路损伤均较轻，1例患者死于相关损伤。4例患者中，一处尿路损伤严重，另一处较轻，其中2例患者死亡。3例患者的尿路损伤均严重，这3例患者均死于相关损伤。由于这10例患者均伴有严重的多发伤，因此都需要进行全面的泌尿外科评估。
