Zwergel T, Zwergel U, Khorsandian C, Bussmann D, Paulus E, op den Winkel R
Unfallchirurgie. 1983 Oct;9(5):253-9.
Divergent opinions exist in treating severe kidney damage. Therapeutic possibilities are shown in 150 kidney injuries, analysed in a retrospective study, during an 8-year period (1975 to 1982) in an urological and surgical department. Conservative treatment was preferred in nearly all kidney trauma grade I (according to Hodges). Nephrectomy was done in 87,5% of all grade III kidney injuries. In grade II kidney damage 9.1% were managed by conservative and 90.9% by operative therapy, 78% of the injured kidneys, grade II and III, could be saved. Operative treatment is highly more recommended regardless whether kidney trauma happened with or without other injuries. Decisions between both therapeutic possibilities, conservative or operative, depend upon posttraumatic complications and the urgency of polytraumatic injuries. Early cooperation between urologist and surgeon is most important.
在严重肾损伤的治疗方面存在不同意见。在一个泌尿外科和外科部门，对1975年至1982年8年间回顾性研究分析的150例肾损伤病例展示了治疗可能性。几乎所有I级肾创伤（根据霍奇斯分类）都首选保守治疗。在所有III级肾损伤中，87.5%的病例进行了肾切除术。在II级肾损伤中，9.1%采用保守治疗，90.9%采用手术治疗，II级和III级损伤的肾脏中，78%得以挽救。无论肾创伤是否伴有其他损伤，都强烈推荐手术治疗。在保守治疗或手术治疗这两种治疗可能性之间的决策，取决于创伤后并发症以及多发伤的紧迫性。泌尿外科医生和外科医生的早期合作最为重要。
