泌尿损伤病人的护理.pptVIP

Grade I 肾挫伤Contusion 　血尿 　血肿Hematoma 肾包膜下Subcapsular 肾盂完整 Grade II 血肿Hematoma 肾周Perirenal 轻度裂伤Laceration 1.0 cm Renal cortex only No urinary extravasation Grade III 中度裂伤Laceration 1.0 cm Renal cortex only No urinary extravasation Intact collecting system Grade IV 重度裂伤Laceration Renal cortex Renal medulla Collecting system Vascular Main renal artery/vein injury with contained hemorrage. Grade V Completely shattered kidney. Avulsion of renal hilum.  * * 泌尿系损伤 URINARY TRAUMA 泌尿系统：上尿路，下尿路 上尿路：肾脏，输尿管 下尿路：膀胱，尿道 肾损伤 1. 开放性损伤 ：战伤 2. 闭合性损伤 ： 直接暴力：车祸、外力撞击，最常见 间接暴力：坠跌、爆震波冲击 肌肉收缩：负重、