Freitag J, Freitag G, Müller G W
Z Urol Nephrol. 1979 Nov;72(11):837-48.
Blunt abdominal traumas are frequently connected with renal injuries. Adequate clinical symptoms and changes demonstrated by secretion urography refer to a renal trauma. An exact statement concerning kind, localisation and size of the injury may preoperatively be got only by renovasography. In 37 patients in 17 cases unconspicuous angiographic findings were made. Here superficial ruptures of the parenchyma once escaped demonstration. 6 times up to now unknown preexisting renal diseases without proof of a sequel of traumas were the result. In 2 cases moderately severe and in 3 patients severe renal traumas appeared.
钝性腹部创伤常与肾损伤相关。分泌性尿路造影显示的充分临床症状和变化提示肾创伤。术前只有通过肾血管造影才能准确了解损伤的类型、部位和大小。在37例患者中，17例血管造影结果不明显。其中实质的浅表破裂曾漏诊。到目前为止，有6例出现了先前未知的肾脏疾病，且无创伤后遗症的证据。出现了2例中度严重肾创伤和3例重度肾创伤。
