Monstrey S J, vander Werken C, Debruyne F M, Goris R J
Department of General Surgery and Urology, University Hospital St Radboud, Nijmegen, The Netherlands.
Br J Urol. 1987 Nov;60(5):393-8. doi: 10.1111/j.1464-410x.1987.tb05001.x.
Our experience with 212 cases of urinary tract injury in multiple trauma patients treated between 1972 and 1983 has been analysed and compared with data collected from 441 cases of isolated urinary tract injury during the same period. The following points are emphasised: (1) incidence and severity of urological trauma in multiple injured patients; (2) obstacles in diagnosis and the need for immediate radiographic assessment; (3) lower urinary tract injuries and the need for urinary diversion; (4) differences in therapeutic approach to renal injuries in multiple trauma patients. We paid special attention to the indication for surgical exploration in patients with a renal laceration and severe associated injuries.
我们分析了1972年至1983年间治疗的212例多发伤患者尿路损伤的经验，并与同期收集的441例单纯尿路损伤的数据进行了比较。强调了以下几点：（1）多发伤患者泌尿系统创伤的发生率和严重程度；（2）诊断中的障碍以及立即进行影像学评估的必要性；（3）下尿路损伤及尿路改道的必要性；（4）多发伤患者肾损伤治疗方法的差异。我们特别关注肾裂伤合并严重相关损伤患者的手术探查指征。
