外伤性肾损伤的诊断与治疗

摘要

目的 探讨外伤性肾外伤的诊断与治疗.方法对97例外伤性肾损伤患者进行临床资料分析.结果 97例外伤性肾损伤患者中,手术治疗8例(肾切除术6例,肾修补术2例;死亡2例);非手术治疗89例,均治愈出院.结论 肾损伤诊断主要依靠外伤史、临床表现、尿检,特别是B超及CT检查.治疗中密切观察患者生命体征,严格掌握手术指征,手术治疗时,尽可能保留肾脏.%Objective To discuss the diagnosis and treatment of traumatic renal injury. Methods Analysis was made in the clinical data of 97 patients with traumatic renal injury. Results Among those cases, 8 ones received the surgical treatment! 6 ones received nephrectomy; 2 ones received renal neoplasty; 2 ones died ). Eighty nine ones received the non - surgical treatment and were all healed and discharged. Conclusion The diagnosis of renal injury mainly depends on the surgical trauma history, clinical manifestation, urine test, especially type B ultrasonography, and CT examination. During the treatment, patients' vital signs should be closely observed. The operative indications should be strictly handled. During the operation, efforts should be made to preserve the renal function.