Bergqvist D, Grenabo L, Hedelin H, Lindblad B, Mätzsch T
Eur Urol. 1983;9(1):1-5. doi: 10.1159/000474032.
Case records of 417 patients, from a well-defined area, who were hospitalized because of blunt renal trauma during the period 1950-1979 were analyzed. The incidence increased during the final decade, corresponding to a rising incidence of motor traffic accidents and sports injuries. Young patients, between 10 and 29 years of age, were responsible for the increase and half of all patients were in this age group. Associated injuries were frequent. Emergency urography was rare during the earlier part of the investigation period, but the frequency increased strongly thereafter. Treatment was mainly conservative (nonoperative) except in patients with major renal injuries. Nephrectomy was performed in 22 patients. Reconstructive surgery was performed especially in patients with intermediate renal injuries during the final decade. The total mortality was 6.5%. Only 7 patients (1.7%) died from the renal injury. A dramatic reduction in the hospitalization time was noted.
对1950年至1979年期间在一个明确界定区域内因钝性肾创伤住院的417例患者的病例记录进行了分析。在最后十年中发病率有所上升，这与机动车交通事故和运动损伤发病率的上升相对应。10至29岁的年轻患者导致了发病率的上升，所有患者中有一半属于这个年龄组。合并伤很常见。在调查期的早期，急诊尿路造影很少见，但此后频率大幅增加。除了严重肾损伤的患者外，治疗主要是保守治疗（非手术治疗）。22例患者接受了肾切除术。在最后十年中，重建手术尤其用于中度肾损伤的患者。总死亡率为6.5%。只有7例患者（1.7%）死于肾损伤。住院时间显著缩短。
