(外科学课件）14.1-Genitourinary Trauma-13级7年制20170525.ppt

Free photoshow template from * 3. Treatment of Complications Stricture, if present, is usually very short, and endoscopic urethrotomy offers easy and rapid cure. Free photoshow template from * 印度媒体30日报道，印度西部拉贾斯坦邦一位高级官员说，该邦焦特布尔市一座神庙当天早晨发生的踩踏事故造成的死亡人数已升至179人，另有100多人受伤。 Classification of renal injuries. A. contusion or subcapsular hematoma ，without parenchymal laceration. Microscopic hematuriais common, but gross hematuria can occur rarely.; normal findings on radiographic studies. B.C. cortical laceration or confined perirenal hematoma, without urinary extravasation. D. parenchymal laceration extending through the corticomedullary junction and into the collecting system. urinary extravasation be present. A laceration at a segmental vessel may also be present. E.multiple major lacerations, resulting in a “shattered” kidney Arteriography shows Arteriovenous fistulas。 B type ultrasound shows retroperitoneal hematoma。 thrombosis of a segmental renal artery ， the corresponding parenchymal ischemia。 Arteriography shows thrombosis of the left renal artery。Contrast medium can not flow into left kidney。 . a perineal blow or fall astride an object; crushing of urethra against inferior edge of pubic symphysis Ruptured prostatemembranous urethra shows free extravasation on urethrogram. No contrast medium is seen entering the prostatic urethra. Free photoshow template from * Etiology 2. Penetrating bladder injuries are commonly associated with major abdominal injuries, and these patients are often in shock. 3. Iatrogenic injury（医源性损伤） may result from gynecologic and other extensive pelvic procedures as well as from hernia repairs（疝修补） and transurethral operations（经尿道手术）. Free photoshow template from * Pathology The bony pelvis protects the urinary bladder very well. When the pelvis is fractured by blunt trauma, fragments from the fracture site may perforate the bladder. These perforations usually result in extraperitoneal rupture. Free photoshow template from