Waxman J, Belman A B, Kass E J
J Urol. 1985 Jul;134(1):114-7. doi: 10.1016/s0022-5347(17)47013-3.
Four children between 5 and 10 years old suffered traumatic amputation of the left lower renal pole following flank trauma. All patients were evaluated with excretory urography and isotope renography. The renal scan clearly demonstrated failure of perfusion of the lower renal pole and urinary extravasation, and was believed to be more valuable than the standard excretory urogram as a diagnostic tool. All children were managed similarly: delayed (72 to 96 hours) exploration, simple removal of the amputated segment and insertion of a Penrose drain. They all have done well. The patients were normotensive at followup and had excellent function of the remaining portion of the kidney.
4名5至10岁的儿童在侧腹外伤后发生左肾下极外伤性离断。所有患者均接受了排泄性尿路造影和同位素肾造影检查。肾扫描清楚地显示肾下极灌注失败和尿外渗，并且被认为作为一种诊断工具比标准的排泄性尿路造影更有价值。所有儿童的治疗方式相似：延迟（72至96小时）探查、简单切除离断部分并置入一根彭罗斯引流管。他们恢复情况均良好。随访时患者血压正常，剩余肾部分功能良好。
