Middlebrook P F, Schillinger J F
Division of Urology, Children's Hospital of Eastern Ontario, Ottawa.
Can J Surg. 1993 Feb;36(1):59-62.
Because the traditional protocol for investigating blunt renal trauma in children has been questioned and because of societal awareness of health care costs, the authors carried out a retrospective review of blunt renal trauma in 138 children over a 5-year period to establish criteria for urgent radiologic investigation of those with suspected renal trauma. From their findings, they recommend that in the absence of the suspected major injuries and hypotension a threshold count of 40 red blood cells per high-power field is necessary before urgent intravenous pyelography should be done.
由于儿童钝性肾损伤的传统检查方案受到质疑，且出于社会对医疗费用的关注，作者对138例儿童钝性肾损伤进行了为期5年的回顾性研究，以确立对疑似肾损伤患儿进行紧急放射学检查的标准。根据研究结果，他们建议，在无疑似重大损伤及低血压的情况下，每高倍视野红细胞计数达40个时，才有必要进行紧急静脉肾盂造影。
