| 186例外伤性肾损伤的诊治总结 |
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| 引用本文： | 王增军,眭元庚,吴宏飞,王成标,尤国才,程双管.186例外伤性肾损伤的诊治总结[J].中华泌尿外科杂志,2001,22(6):353-355. |
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| 作者姓名： | 王增军 眭元庚 吴宏飞 王成标 尤国才 程双管 |
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| 作者单位： | 南京医科大学第一附属医院泌尿外科 210029 |
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| 摘 要： | 目的 总结外伤性肾损伤的诊治体会，提高肾损伤的诊治效果。方法 回顾性分析186例外伤性肾损伤的诊治资料。结果 186例肾损伤患者中，伴有合并伤76例（40％）。其中保守治疗128例，发生并发症7例；手术治疗32例，其中肾切除20例，切除率63％；肾动脉柱寒26例；死亡12例，死亡率6％。结论 准确进行伤情评估，严格掌握手术治疗和非手术治疗指征是处理外伤性肾损伤的关键。
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| 关 键 词： | 肾损伤 外伤性肾损伤 诊断 治疗 |
| 修稿时间： | 2000年6月30日 |
An experience with 186 cases of renal trauma |
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| WANG Zengjun,XU Yuangen,WU Hongfei,et al..An experience with 186 cases of renal trauma[J].Chinese Journal of Urology,2001,22(6):353-355. |
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| Authors: | WANG Zengjun XU Yuangen WU Hongfei |
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| Institution: | WANG Zengjun,XU Yuangen,WU Hongfei,et al.Department of Urology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China |
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| Abstract: | Objective To evaluate the management and diagnosis of 186 cases of renal trauma. Methods 186 cases of renal trauma were retrospectively studied. Results 76 cases of 186(40%)were complicated by other organ injuries. 128 cases were managed without surgical intervention and 7 of them had complications. 32 cases were treated by open operation and 20 of them required nephrectomy. 26 cases were treated with selected renal arteriographic embolism. 12 patients died of injury(6%). Conclusions The extent of the injury should be evaluated accurately and quickly.The most important was to decide the treatment strategy,open surgery or not. |
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| Keywords: | Kidney Wonds and injuries |
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