van Ahlen H, Nicolas V, Brühl P, Porst H
Urologe A. 1987 Mar;26(2):88-93.
For the therapy of pediatric renal trauma there is always the question of the appropriate diagnostic measures. The various procedures such as ultrasound, urography, scintigraphy, computed tomography, conventional angiography, arterial and venous digitalized subtraction angiography are discussed. By these new methods it is possible to judge the severity of renal trauma more accurately and to limit the indications for an operation. With stable circulation an operation should only be performed in the presence of a large, expanding retroperitoneal hematoma, extensive extravasation (urinoma), persistent massive hematuria or if large areas of devitalized renal tissue are found.
对于小儿肾外伤的治疗，始终存在合适诊断措施的问题。文中讨论了各种检查方法，如超声、尿路造影、闪烁扫描、计算机断层扫描、传统血管造影、动脉和静脉数字减影血管造影。通过这些新方法，可以更准确地判断肾外伤的严重程度，并限制手术指征。在循环稳定的情况下，只有在出现巨大且不断扩大的腹膜后血肿、广泛外渗（尿瘤）、持续性大量血尿或发现大面积失活肾组织时才应进行手术。
