Saika T, Manabe D, Suyama B, Tojyo S
Department of Urology, Mitoyo General Hospital.
Hinyokika Kiyo. 1998 Oct;44(10):697-700.
A total of 18 kidneys in 17 patients with renal trauma were treated at the Department of Urology, Mitoyo General Hospital between April 1991 and August 1997. Patients were between 10 and 88 years old (median; 52). Eleven of them were male and 6 were female. The main cause of injury was a traffic accident in 11 cases (64.7%), which was similar in tendency to previous reports in this country. According to the Classification of Renal Injury by the Japanese Association for the Surgery of Trauma in Japan, there were 8 cases (47.1%) of Type I (sub-capsular injury) and Type II (superficial injury) that was classified a minor injury, and there were 9 cases (52.9%) of Type III (deep injury), Type IV (pedicle injury) and open injury that was classified as a major injury. Surgical treatment was performed in 8 cases (47.1%), which were all classified as a major injury. Posttraumatic plasma lactate dehydrogenase (LDH) was elevated immediately in case of major injury in comparison with a case of minor injury. Serum LDH may be useful as a parameter of the degree of renal trauma.
1991年4月至1997年8月期间，三丰综合医院泌尿外科共收治了17例肾外伤患者的18个肾脏。患者年龄在10岁至88岁之间（中位数为52岁）。其中男性11例，女性6例。损伤的主要原因是交通事故，共11例（64.7%），这一趋势与该国此前的报告相似。根据日本创伤外科学会的肾损伤分类，Ⅰ型（包膜下损伤）和Ⅱ型（浅表损伤）属于轻伤，共8例（47.1%）；Ⅲ型（深部损伤）、Ⅳ型（肾蒂损伤）和开放性损伤属于重伤，共9例（52.9%）。8例（47.1%）重伤患者均接受了手术治疗。与轻伤患者相比，重伤患者创伤后血浆乳酸脱氢酶（LDH）立即升高。血清LDH可能作为肾损伤程度的一个参数。
