Jablonski J P, Brueziere J, Gruner M
Chir Pediatr. 1979;20(2):85-8.
In 22 cases we observed the association of post traumatic intra and retro peritoneal bleeding the latter due to kidney rupture. In such cases the usual policy consists in treating the abdominal visceral lesion first and post pone the management of the kidney rupture. In 13 cases we decided to undertake simultaneous surgical treatment of the abdominal and kidney lesion. The preoperative diagnosis was established by combination of exploratory peritoneal dialysis and I V P. The surgical exploration was achieved by means of medial incision. In 6/13 cases it disclosed kidney lesions which necessitated immediate nephrectomy. Our experience shows that one stage surgical procedure is beneficial to the patients.
在22例患者中，我们观察到创伤后腹腔内及腹膜后出血，后者系肾破裂所致。在此类病例中，通常的策略是先处理腹部内脏损伤，而将肾破裂的处理推迟。在13例患者中，我们决定同时对腹部和肾脏损伤进行手术治疗。术前诊断通过腹腔穿刺探查和静脉肾盂造影相结合得以确立。手术探查采用内侧切口。在13例中的6例中，探查发现肾脏损伤，需要立即进行肾切除术。我们的经验表明，一期手术对患者有益。
