[Clinical aspects and diagnosis of closed, combined injuries of the kidneys in children].

Under study were associated lesions of kidneys in 164 patients admitted to the hospital of emergency medical service with the closed injury of the kidneys. Symptoms of injury of other organs and shock of different degree prevailed in the clinical picture of 45 children. Novocaine blockade and active infusion therapy were used to abolish shock reactions. To diagnoze the injuries of kidneys laparoscopy and dynamic scintigraphy were used in addition to urgent urography. Operations were performed on 25 patients, 15 patients died, 4 of which were not operated upon in view of the critical state. Most of dead patients (14) had multiple injuries.