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[现代战争中泌尿系统器官枪伤的诊断与治疗特点]

[The diagnostic and treatment characteristics of gunshot wounds to the organs of the urinary system in modern wars].

作者信息

Goriachëv I A, Shpilenia E S

出版信息

Vestn Khir Im I I Grek. 1994 Jan-Feb;152(1-2):59-64.

PMID:7701753
Abstract

The frequency of injuries of the urinary system which are very severe is as high as 4% of all the wounds of other localizations. The high frequency of associated injuries, critical states of the wounded give very short time for urological examinations which prevents making the exact diagnosis. Nephrectomy still remains the most common operative intervention for wounds of the kidneys (62.8%). The insufficient elimination of urine and inadequate drainage in wounds of the urinary bladder and urethra are followed by very severe complications. An analysis of the experience with treatment of wounds of the urinary system has shown that the medical evacuatory measures must be improved.

摘要

泌尿系统严重损伤的发生率高达所有其他部位伤口的4%。合并伤的高发生率、伤员的危急状态使得泌尿外科检查的时间非常短,这妨碍了做出准确的诊断。肾切除术仍然是肾脏伤口最常见的手术干预方式(62.8%)。膀胱和尿道伤口的尿液引流不足和引流不充分会引发非常严重的并发症。对泌尿系统伤口治疗经验的分析表明,必须改进医疗后送措施。

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