成年患者肾创伤分析：创伤中心6年经验
Analysis of Renal Trauma in Adult Patients: A 6-Year Own Experiences of Trauma Center.
作者信息
Ząbkowski Tomasz, Skiba Ryszard, Saracyn Marek, Zieliński Henryk
机构信息
Departments of Urology, Military Medical Institute, Szaserów Street 128, 04-141 Warsaw, Poland.
Departments of Nephrology Military Medical Institute, Szaserów Street 128, 04-141 Warsaw, Poland.
出版信息
Urol J. 2015 Sep 4;12(4):2276-9.
PURPOSE
Abdominal trauma itself accounts for approximately 3% of all trauma cases. Among cases of multiple organ trauma, abdominal trauma accounts for 8-10% of cases. The frequency of genitourinary tract trauma is 10%. The renal trauma is 1-5% of all trauma cases. The aim of this study was to determine treatment's strategy according to analysis of renal trauma severity.
MATERIALS AND METHODS
Since 2008, the Military Institute of Medicine, followed by the Trauma Center, treated 1119 trauma patients, of which 52 were renal trauma cases. In most cases, renal trauma was concomitant with multiple organ trauma.
RESULTS
Of the 52 renal trauma cases, 35 (67%) were caused by transportation, 5 (10%) by falls, 8 (15%) by iatrogenic factors, 2 (4%) by batteries, and 2 by idiopathic factors. In our study cohort, 31 cases (60%) experienced renal trauma concomitant with multiple organ trauma. Renal trauma involved injury to both kidneys in 9 (20%) patients, and to only 1 kidney in 34 (80%) patients.
CONCLUSION
The use of computed tomography scan in combination with strict observation of conservative treatment protocols and intravascular techniques results in effective treatment of renal trauma.
目的
腹部创伤约占所有创伤病例的3%。在多器官创伤病例中，腹部创伤占8 - 10%。泌尿生殖道创伤的发生率为10%。肾创伤占所有创伤病例的1 - 5%。本研究的目的是通过分析肾创伤的严重程度来确定治疗策略。
材料与方法
自2008年以来，军事医学研究所及其后的创伤中心共治疗了1119例创伤患者，其中52例为肾创伤病例。在大多数情况下，肾创伤与多器官创伤同时存在。
结果
在52例肾创伤病例中，35例（67%）由交通伤引起，5例（10%）由坠落伤引起，8例（15%）由医源性因素引起，2例（4%）由殴打引起，2例病因不明。在我们的研究队列中，31例（60%）患者的肾创伤与多器官创伤同时存在。9例（20%）患者双侧肾脏均受创伤，34例（80%）患者仅一侧肾脏受创伤。
结论
计算机断层扫描与严格遵守保守治疗方案及血管内技术相结合可有效治疗肾创伤。
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