小儿肾损伤61例分析

摘要

@@ 小儿肾损伤是仅次于颅脑外伤的常见内脏损伤,虽然绝大多数纯肾损伤可不经手术而恢复,但也确有因延误治疗而丢失患肾的.为此复习我院1956～1981年2月有完整记载的61例肾损伤,作一分析及讨论.%This paper reports 61 cases with renal injuries, the majority of which were schoolchildren. There was a 2:1 male to female ratio.Most injuries were of closed variety and produced by a fall. Twelve cases were associated injuries of other structures or organs. Symptoms and signs included macroscopic or microscopic hematuria, tenderness and rigity of the lumbar region. An excretory urogram of 11 cases showed distortion of the calyces and excreting defects and extravasation of the contrast medium through the kidney. Forty-nine cases were treated by conservative methods. Twelve required operation. All the patients have recovered. The authors emphasize when patients who are not in shock are admitted, an intravenous urogram should be obtained as early as possible. If the symptoms tend to aggravate progressively and the excretory urogram do not give enough information, the renal angiography and renal scans should be done.