1General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia, 56124 Pisa, Italy.
2Trauma Surgery, Denver Health, Denver, CO USA.
World J Emerg Surg. 2019 Dec 2;14:54. doi: 10.1186/s13017-019-0274-x. eCollection 2019.
Renal and urogenital injuries occur in approximately 10-20% of abdominal trauma in adults and children. Optimal management should take into consideration the anatomic injury, the hemodynamic status, and the associated injuries. The management of urogenital trauma aims to restore homeostasis and normal physiology especially in pediatric patients where non-operative management is considered the gold standard. As with all traumatic conditions, the management of urogenital trauma should be multidisciplinary including urologists, interventional radiologists, and trauma surgeons, as well as emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST) kidney and urogenital trauma management guidelines.
在成人和儿童的腹部创伤中,约有 10-20%会出现肾和泌尿生殖系统损伤。最佳的处理方法应考虑到解剖损伤、血流动力学状态和相关损伤。泌尿生殖系统创伤的处理旨在恢复内环境稳定和正常生理功能,特别是在儿科患者中,非手术治疗被认为是金标准。与所有创伤情况一样,泌尿生殖系统创伤的处理应该是多学科的,包括泌尿科医生、介入放射科医生和创伤外科医生,以及急诊和 ICU 医生。本文的目的是介绍世界急诊外科学会(WSES)和美国创伤外科学会(AAST)的肾脏和泌尿生殖系统创伤管理指南。