16例肾损伤合并其他脏器损伤的诊治（Diagnosis and treatment of 16 cases of renal trauma complicated with other organ injuries）.docVIP

16例肾损伤合并其他脏器损伤的诊治（Diagnosis and treatment of 16 cases of renal trauma complicated with other organ injuries） Diagnosis and treatment of 16 cases of renal trauma complicated with other organ injuries Update Date: 2010-12-16, Chen Zhenchuan, Yang Jitian In our hospital from June 1992 to June 1997, 56 cases of renal injuries were treated, including 16 cases of kidney injury accompanied by other organ injuries (28.6%). The analysis is as follows. clinical data There were 16 cases, 12 males and 4 females, aged 6~67 years, with an average age of 42 years. The causes of injury were closed injuries, including 13 cases of traffic accidents (81.2%) and 3 cases of falling injuries (18.7%). Injury: 9 cases with left kidney injury, 7 cases with right kidney injury. There were cases of renal laceration, 12 cases of perirenal hematoma, 3 cases of complete rupture of renal proximal pole, and 1 cases of urinary extravasation. 6 cases with 1 lesions, 2 ~ 3 in 10 cases, including 7 cases of craniocerebral injury, 4 cases of pulmonary contusion, blood (gas) chest in 5 cases, multiple rib fractures in 6 cases, 2 cases of rupture of liver, 2 cases of splenic rupture, 1 cases with intestinal rupture, 1 cases of upper extremity fracture of rectus abdominis. Fracture in 1 cases. According to AIS90 score of 13~41 points, an average of 21 points. ISS16 was divided into 10 cases. Treatment methods and results Conservative treatment was performed in 10 cases, surgical treatment in 6 cases, nephrectomy in 5 cases, renal repair in 1 case. In 4 cases of abdominal operation, 3 cases of perirenal hematoma with stable, low tension, no pulsation and dilatation were found, and they were not treated. 1 of them had high tension in the hematoma and diffused to the iliac bone, and they were found to have severe renal laceration and renal resection. Combined injury surgery: craniotomy cleared hematoma in 1 cases, closed drainage in 5 cases, splenectomy in 2 cases, liver repair in 2 cases, intestinal repair