肾血管创伤

Renovascular trauma.

作者信息

Brown M F, Graham J M, Mattox K L, Feliciano D V, DeBakey M E

出版信息

Am J Surg. 1980 Dec;140(6):802-5. doi: 10.1016/0002-9610(80)90121-x.

Abstract

One hundred fifty-four patients with renovascular injuries were analyzed to gain insight into the mortality, morbidity and indications for immediate nephrectomy versus arterial revascularization. Arterial revascularization is seldom indicated in patients with a normal contralateral kidney who have multiple associated injuries, hilar injuries, long segmental arterial injuries or prolonged renal ischemia. An attempt at renal artery revascularization is justified with bilateral injuries, when only one kidney is present or when a solitary artery injury can be repaired by simple lateral arteriorrhaphy.

摘要

对154例肾血管损伤患者进行分析，以深入了解死亡率、发病率以及即刻肾切除术与动脉血管重建术的适应证。对于对侧肾脏正常但伴有多处合并伤、肾门损伤、长节段动脉损伤或长时间肾缺血的患者，很少需要进行动脉血管重建术。对于双侧损伤、仅存一个肾脏或单纯侧方动脉修补术即可修复的孤立性动脉损伤患者，尝试进行肾动脉血管重建术是合理的。