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为了探讨肾损伤的急诊诊断和治疗方法,对1993年3月~1998年9月52倒闭合性肾损伤采用常规剂量IVU、B超、CT等检查,行非手术治疗或手术治疗。常规剂量IVU、B超、CT检出损伤率分别为0%、71.14%和73.1%;非手术治疗50例,肾切除术2例,全部治愈。肾损伤的急诊诊断首选CT和B超,治疗应首先防治休克,必要时行剖腹探查肾切除术。
In order to explore the emergency diagnosis and treatment of renal injury, from March 1993 to September 1998 52 closed renal failure with conventional dose IVU, B ultrasound, CT and other tests, non-surgical treatment or surgical treatment. The damage rates of routine dose of IVU, B ultrasound and CT were 0%, 71.14% and 73.1% respectively; 50 cases of non-surgical treatment and 2 cases of nephrectomy were cured. Emergency diagnosis of renal injury CT and B- preferred treatment should be the first prevention and treatment of shock, if necessary, laparotomy nephrectomy.