Brunet C, Sielezneff I, Voinchet V, Rosset E, Grégoire R, Thirion X, Ugarte S, Farisse J
Chirurgie Générale et Urgences, Hôpitaux Sud, Marseille.
J Chir (Paris). 1995 Aug-Sep;132(8-9):353-7.
From September 1989 to September 1994, 65 patients, 15 females and 50 males, with a mean age of 32 +/- 14 years were admitted in the emergency unit for renal trauma. In 38.5% of cases multiple trauma was present. Lesional mechanism was most frequently contusions (49.2%) and deceleration injuries (43.1%). Gross hematuria or microscopic hematuria were presents in 72.3% of cases. The sensibility of systematic abdominal echography was 100% in case of perirenal hematoma and 65% in case of parenchymatous lesions. Only 23 patients were operated (35.3%) because of low blood pressure. None secondary operation was necessary in abstention group. Global mortality was 7.7%. Postoperative morbidity was 20% and specific morbidity in abstention group was 10.7%.
1989年9月至1994年9月，65例肾外伤患者被收入急诊病房，其中女性15例，男性50例，平均年龄32±14岁。38.5%的病例存在多发伤。损伤机制最常见的是挫伤（49.2%）和减速伤（43.1%）。72.3%的病例出现肉眼血尿或镜下血尿。系统性腹部超声检查对肾周血肿的敏感性为100%，对实质损伤的敏感性为65%。仅23例患者（35.3%）因低血压接受了手术。非手术组无需二次手术。总体死亡率为7.7%。术后发病率为20%，非手术组的特异性发病率为10.7%。
