外科学-各论英文课件:Urologic Trauma.pptx

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Urologic Trauma;CLASSIFICATION;Clinical symptoms are mostly associated with hemorrhage and urinary extravasation;?Blunt trauma (motor vehicle accident, fall from heights, assaults) ?Penetrating injury (gun shot stab wounds) ?Iatrogenic injury;Classification of renal injury by Grade;Diagnosis;Diagnosis;Treatment;Treatment;?Massive bleeding ?Persistence hematuria ?Multiple-injury trauma ?Penetrating trauma;?Urinoma /perinephric infection /renal loss: systemic antibiotics; placement of an internal ureteral stent ?Delayed renal bleeding: bed rest and hydration; angiography and embolization ?Perinephric abscess: percutaneous drainage ?Hypertension: renal artery stenting;Ureteral injuries after external violence are rare; Mostly occurs in surgical procedures or ureteroscopy.;Management;;?Direct force: sudden force applied to a full bladder lead to intraperitoneal bladder ruptures. ?Indirect force: most common cause is pelvic fracture, which is asscociated with the extraperitoneal bladder ruptures.;Diagnosis;Treatment;;-Clinical Manifestation-;-Principle of treatment-;-Clinical Manifestation-;-Principle of treatment-;;Other urologic Trauma;Thanks for your attention!

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