高级钝性创伤性肾移植破裂：是否可以选择保守治疗？
High-grade blunt traumatic rupture of kidney transplant: is conservative management an option?
机构信息
Guy's and St Thomas' NHS Foundation Trust, UK.
出版信息
Ann R Coll Surg Engl. 2022 Apr;104(4):e113-e115. doi: 10.1308/rcsann.2021.0167. Epub 2021 Nov 26.
Abstract
Road traffic accidents are the most common cause of blunt native kidney injuries. Transplanted kidneys are more exposed to such injuries due to the common positioning in the iliac fossa compared with the relatively protected position of the native kidneys. The small number of cases identified in the literature describe grade II and III transplant kidney injuries that were treated surgically. In our case a grade IV injury was managed conservatively giving the necessary time to appropriately plan the future renal replacement therapy options for the patient.
摘要
道路交通伤是最常见的导致原发性肾钝性伤的原因。与相对受保护的原生肾脏位置相比，移植肾脏由于其在髂窝中的常见位置而更容易受到此类损伤。文献中报道的少数病例描述了接受手术治疗的 II 级和 III 级移植肾损伤。在我们的病例中，采用了保守治疗来处理 IV 级损伤，为患者适当规划未来的肾脏替代治疗方案提供了必要的时间。
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High-grade blunt traumatic rupture of kidney transplant: is conservative management an option?高级钝性创伤性肾移植破裂：是否可以选择保守治疗？
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