Kase H, Nagashima H, Watanabe T, Katoh M, Okada K
Department of Urology, Saitama Medical School.
Hinyokika Kiyo. 1995 Nov;41(11):855-9.
Sixty two patients with blunt renal trauma were treated and followed in our clinic between 1976 and 1993. Immediate operation was performed in one with major laceration, 3 with ruptures and one with pedicle injury, that is, nephrectomy in 4 and partial nephrectomy in one. Expectant management with the purpose of preserving the injured kidney was performed in 33 contusions, 20 minor lacerations and 5 major lacerations, resulting in no complications. We confirm that expectant management of blunt renal trauma may be reliable if the condition of the patient is stable even in the case of rupture, and the treatment of associated injury is preferential.
1976年至1993年间，我们诊所对62例钝性肾损伤患者进行了治疗和随访。1例严重撕裂伤、3例破裂伤和1例肾蒂损伤患者接受了急诊手术，即4例行肾切除术，1例行部分肾切除术。对33例挫伤、20例轻度撕裂伤和5例严重撕裂伤患者进行了以保留受伤肾脏为目的的保守治疗，未出现并发症。我们证实，即使在破裂的情况下，只要患者情况稳定，钝性肾损伤的保守治疗可能是可靠的，并且优先处理合并伤。
