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肾闭合性损伤并不少见,约占腹部损伤20%,有关远期并发症报导较少。我们于1979年～1985年见到2例,报告如下:例1:女,18岁。患者3个月前右腹外伤,伤后15天持续肉眼血尿,50天时发现右上腹肿物。查体:一般情况好,血压110/70mmHg。右上腹膨隆,肿物下界达髂前上棘,边界不清,肝脾未触及,脊柱向左侧弯曲。超声波检查:右腹部探到一囊性肿物,左肾波正常。排泄性尿路造影(IVP):左肾显影良好,右肾不显影,可见约26×15cm 肿物占据右腹部,压迫脊柱侧弯。实验室检查:血红蛋白12g/dl,白细胞8,200,中性70%。尿:白细胞(+),NPN 32mg%,肝功能正常。囊肿穿
Closed renal injury is not uncommon, accounting for about 20% of abdominal injuries, less long-term complications reported. We met in 1979 ~ 1985, two cases, the report is as follows: Example 1: Female, 18 years old. Patients with right abdominal trauma 3 months ago, 15 days after injury sustained gross hematuria, 50 days found that the right upper quadrant tumor. Physical examination: the general situation is good, blood pressure 110 / 70mmHg. The right upper quadrant bulge, the lower boundary of the tumor reached the anterior superior iliac spine, the border is unclear, liver and spleen not touched, the left spine curved. Ultrasound: exploration of the right abdomen to a cystic mass, left kidney wave normal. Excretion urography (IVP): Left kidney developed well, the right kidney does not develop, visible about 26 × 15cm tumor occupies the right abdomen, oppression scoliosis. Laboratory tests: hemoglobin 12g / dl, leukocytes 8,200, neutral 70%. Urine: white blood cells (+), NPN 32mg%, normal liver function. Cysts wear