肾脏刺伤：侧腹穿透伤的保守治疗

Stab wounds of the kidney: conservative management in flank penetration.

作者信息

Bernath A S, Schutte H, Fernandez R R, Addonizio J C

出版信息

J Urol. 1983 Mar;129(3):468-70. doi: 10.1016/s0022-5347(17)52182-5.

Abstract

Between April 1976 and December 1980, 373 patients with stab wounds of the abdomen were seen in our emergency room. Of 47 cases (12.6 per cent) in which renal penetration was confirmed nonoperative management was selected in 34 (70.2 per cent), with no further sequelae in 28 (82 per cent). The site of abdominal penetration was posterior to the anterior axillary line in 30 successful conservatively managed patients (88 per cent). The site of abdominal wound penetration in conjunction with clinical stability may avoid unnecessary renal explorations.

摘要

1976年4月至1980年12月期间，我院急诊室共收治373例腹部刺伤患者。在47例（12.6%）经证实有肾脏穿通伤的病例中，34例（70.2%）选择了非手术治疗，其中28例（82%）无进一步后遗症。30例保守治疗成功的患者中，腹部穿通部位位于腋前线后方（88%）。腹部伤口的穿通部位结合临床稳定性可避免不必要的肾脏探查。