Nguyen H T, Carroll P R
Department of Urology, University of California School of Medicine, San Francisco, USA.
Semin Urol. 1995 Feb;13(1):83-9.
The management of blunt renal trauma has evolved due to advances in clinical and radiographic staging. Careful clinical evaluation and the selective use of intravenous urography (IVU) and computed tomography (CT) have allowed many patients with major renal injuries to undergo surveillance, rather than renal exploration, with low morbidity. This article reviews the current diagnosis, staging, and management of adult and pediatric blunt renal trauma and describes the technique for renal exploration and repair.
由于临床和影像学分期技术的进步，钝性肾损伤的处理方式已经发生了演变。细致的临床评估以及对静脉肾盂造影（IVU）和计算机断层扫描（CT）的选择性应用，使得许多重度肾损伤患者能够接受监测而非肾探查，且发病率较低。本文回顾了成人和儿童钝性肾损伤的当前诊断、分期及处理方式，并描述了肾探查与修复技术。
