García Mérida M, García Lorenzo C, Miguélez Lago C, Ceres Ruiz M L
An Esp Pediatr. 1984 Apr 15;20(6):619-24.
16 children admitted to the hospital for blunt renal trauma were studied. Following Mandour's classification 10 cases were minor, five mayor and one was critical. No vascular or ureteral problems were seen. The treatment was initially conservative in all cases, without explorative lumbotomy or perirenal drainage. Only one patient was operated on for an arteriovenous fistula in the renal parenchyma; an exeresis of that portion was done. The follow-up (for one year) with clinical, IVP, echography and blood pressure controls was normal in all cases. The present authors prefer a conservative management, whenever possible, and surgical treatment only for complications and vascular or pyeloureteral disruption.
对16例因钝性肾创伤入院的儿童进行了研究。根据曼杜尔分类法，10例为轻度，5例为重度，1例为极重度。未发现血管或输尿管问题。所有病例最初均采用保守治疗，未进行探查性腰切开术或肾周引流。仅1例患者因肾实质动静脉瘘接受手术，切除了该部分组织。所有病例经临床、静脉肾盂造影、超声检查和血压监测的随访（为期一年）均正常。作者认为，只要有可能，应采用保守治疗，仅对并发症以及血管或肾盂输尿管破裂进行手术治疗。
