Esposito C, Guys J M, Borrionne C L, Monfort G
Dipartimento di Chirurgia Pediatrica, Ospedale La Timone-Enfants--Marsiglia, Francia.
Minerva Urol Nefrol. 1994 Sep;46(3):153-7.
Over the past 4 years 18 children were observed at the La Timone-Enfants Hospital in Marseille with renal lesions consequent to nonpenetrating abdominal traumas. Hematuria was reported in 14 cases (7 macroscopic and 7 microscopic) and all cases suffered from abdominal and/or lumbar pain. In relation to the diagnostic iter used: 18 echographies, 15 urographies, 13 TAC, 2 ascendant pyelographies, 2 scintigraphies with DMSA, 1 echo-Doppler and one angiography were performed. Renal lesions were classified as: 8 type 1, 5 type 2, 4 type 3, 1 type 4. Four cases were operated and one case underwent percutaneous drainage of an urohematoma. Following an analysis of these case and a revision of the literature, the authors emphasise that the evolution and progress in the diagnosis and treatment of this important aspect of traumatic pathology in children enables an almost complete recovery of kidney function in almost all cases.
在过去4年里，马赛的拉蒂莫内儿童医院观察到18名儿童因非穿透性腹部创伤导致肾脏损伤。14例报告有血尿（7例肉眼血尿和7例镜下血尿），所有病例均有腹部和/或腰部疼痛。关于所采用的诊断流程：进行了18次超声检查、15次尿路造影、13次计算机断层扫描、2次逆行肾盂造影、2次二巯基丁二酸肾闪烁显像、1次超声多普勒检查和1次血管造影。肾脏损伤分类为：8例1型、5例2型、4例3型、1例4型。4例接受了手术，1例接受了尿血肿的经皮引流。在对这些病例进行分析并查阅文献后，作者强调，儿童创伤病理学这一重要方面在诊断和治疗上的进展使得几乎所有病例的肾功能几乎能完全恢复。
