小儿钝性肾损伤——手术治疗还是保守治疗？

Pediatric blunt renal trauma--surgical or conservative treatment?

作者信息

van Ahlen H, Brühl P, Porst H

机构信息

Department of Urology, University of Bonn, FRG.

出版信息

Eur Urol. 1988;14(5):407-11. doi: 10.1159/000472993.

DOI:10.1159/000472993

PMID:3169085

Abstract

To evaluate the indications for conservative and surgical treatment, we analyzed the type of injury, associated injuries, diagnostic procedures and the results of therapy. Contusions were treated conservatively. In the 24 severe injuries surgery rate was 66% (16/24), renal loss rate was 16% (4/24), the other organs being saved by the operation. With primarily conservative treatment we had to operate in 1 case only due to recurrent hematuria; the renal loss rate was 0%. As indications for surgical treatment we defined: (1) deteriorating vital signs, (2) pedicle injuries and (3) large extravasations of contrast medium.

摘要

为评估保守治疗和手术治疗的适应症，我们分析了损伤类型、合并损伤、诊断方法及治疗结果。挫伤采用保守治疗。在24例重伤患者中，手术率为66%（16/24），肾切除率为16%（4/24），其他器官通过手术得以保全。采用初步保守治疗时，仅1例因复发性血尿而需手术；肾切除率为0%。我们确定的手术治疗适应症为：（1）生命体征恶化；（2）肾蒂损伤；（3）造影剂大量外渗。