Ahmed S, Morris L L
Br J Urol. 1982 Oct;54(5):470-7. doi: 10.1111/j.1464-410x.1982.tb13567.x.
Sixty-six cases of renal parenchymal injuries secondary to blunt abdominal trauma in childhood are reviewed. Based on radiological findings, the injuries were classified into renal contusions, lacerations and transections. The clinical features were more acute in patients with renal laceration and transection. Complications were more common in patients with renal transection and led to partial or total renal loss in a significant number of cases. Renal contusions and most lacerations should be managed non-operatively but renal transections should in general be managed operatively.
回顾66例儿童腹部钝性创伤继发肾实质损伤的病例。根据影像学检查结果，损伤分为肾挫伤、裂伤和横断伤。肾裂伤和横断伤患者的临床症状更急。并发症在肾横断伤患者中更常见，并且在相当多的病例中导致部分或全部肾切除。肾挫伤和大多数肾裂伤应采取非手术治疗，但肾横断伤一般应采取手术治疗。
