Maibom Sophia Liff, Frevert Susanne Christiansen, Holm Mette Lind
Ugeskr Laeger. 2017 Oct 2;179(40).
Renal trauma is injury to the kidney because of either blunt or penetrating trauma. The condition must be diagnosed quickly and correctly in order to preserve kidney function. This article describes classification, diagnostics, treatment and follow-up. It is important to do a CT-urography to classify the injury properly. The majority of the patients with renal injury can be managed conservatively. Surgical exploration is primarily for the control of haemorrhage. Complications may require additional imaging or inter-ventions. Follow-up is focused on renal function and blood pressure.
肾外伤是指由于钝性或穿透性创伤导致的肾脏损伤。为了保留肾功能,必须迅速且正确地诊断这种情况。本文介绍了肾外伤的分类、诊断、治疗及随访。进行CT尿路造影以正确分类损伤很重要。大多数肾损伤患者可采用保守治疗。手术探查主要用于控制出血。并发症可能需要进一步的影像学检查或干预措施。随访重点关注肾功能和血压。