创伤性肾包膜下血肿的诊治体会临床医学.docVIP

创伤性肾包膜下血肿的诊治体会临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：创伤性肾包膜下血肿的诊治体会临床医学 1 1 一般资料 3 2 治疗方法 3 1 病因与发病机制 4 2 临床特征 4 3 诊断 5 4 治疗 5 文2：创伤性急性呼吸窘迫综合征的诊治与体会 6 1 临床资料 7 2 结果 8 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 创伤性肾包膜下血肿的诊治体会临床医学 文1：创伤性肾包膜下血肿的诊治体会临床医学 Abstract： Objective To summarize the clinical characteristics and treatment method for diagnosis and treatment of traumatic renal subcapsular Totally 18 cases of traumatic renal subcapsular hematoma (13 cases due to external injury and 5 iatrogenic cases ) were treated with coervative treatment,minimally invasive treatment and surgical exploration respectively according to the results of CT and US Coervative treatment,minimally invasive treatment and surgical exploration were undertaken respectively in 11 cases,5 cases and 2 cases with surgical exploration underwent nephrectomy due to traumatic renal subcapsular hematoma and serious renal 16 cases including 11 cases with surgical exploration and 5 cases with minimally invasive therapy were followed up for 15 yea,and good prognosis was obtained in 14 cases in the coervative treatment group were found renal atrophy to some extent and renal function decreased after 1 hyperteion,hydronephrosis and renal infection were not detected in all Iatrogenic renal subcapsular hematoma is due to irregular manipulation of diagnosis and treatment,and traumatic renal subcapsular hematoma is always complicated with other renal and ultrasound examination are the major mea to detect renal hematoma and determine severity curative effect can be obtained if coervative treatment and minimally invasive treatment are selected according to the severity degree of renal exploration indication should be strictly mastered. Key words:renal injury;renal capsule;hematoma 肾包膜下血肿是肾损伤出血较多并积聚于肾包膜下，严重时可发生肾包膜破裂大出血，急诊手术易增加失肾率，甚至危及生命。远期可发生肾萎缩、肾积水、肾性高血压和肾脏感染等并发症[1，2]。本文总结1999年1月～2008年5月收治的创伤致肾包膜下血肿18例，就其临床特点及诊疗体会报告如下。 临床资料 1 一般资料 本组18例，男性6例，女性12例;年龄25