Otte J B, Bourdeaux L, Gosseye S, Dautrebande J
Chir Pediatr. 1979;20(5):333-6.
Isolated rupture and thrombosis of the renal artery is a rare form of traumatic injury : two cases are added by the authors to the seventy reports found in the English and French literature. Clinical signs calling for the diagnosis like hematuria or high blood pressure may be absent. To make an early diagnosis, every patient suffering from acute blunt trauma of the abdomen should be submitted immediately to intravenous urography. Angiography should follow immediately when no secretion is produced on one or both sides. If a lesion of the renal artery is discovered, surgical repair can be attempted when the delay does not exceed 12 to 24 hours from the time of the accident. The best technical modalities include segmental resection with thrombectomy, aortorenal by-pass or eventually renal autotransplantation.
作者在英文和法语文献中发现的70例报告基础上又增加了2例。血尿或高血压等提示诊断的临床体征可能不存在。为了早期诊断，每一位腹部急性钝性创伤患者都应立即接受静脉尿路造影。当一侧或双侧均无造影剂分泌时，应立即进行血管造影。如果发现肾动脉病变，在事故发生后延迟不超过12至24小时时可尝试进行手术修复。最佳的技术方式包括节段性切除并取栓、主动脉肾动脉旁路移植术或最终进行肾自体移植。
