论文部分内容阅读
目的总结肾脏损伤的诊治体会,提高其诊断和治疗水平。方法回顾性分析82例肾脏损伤的临床资料和诊治情况。结果交通伤46例(56%),高处坠落伤17例(20.7%),刀刺伤11例(13.4%)。血尿71例(86.6%),腹膜刺激症31例(37.8%),腰痛69例(84.1%)。B超检查80例,阳性率97.5%,CT检查51例,阳性率为100%,IVP检查31例,阳性率71.3%。保守治疗57例,占69.5%,手术治疗25例,占30.5%。治愈77例,死亡5例(6%)。结论肾脏损伤可依据病史、临床症状、辅助检查明确诊断。严格掌握手术治疗和非手术治疗的指征是肾脏损伤治疗的关键。
Objective To summarize the diagnosis and treatment of renal injury and improve its diagnosis and treatment. Methods A retrospective analysis of 82 cases of renal injury clinical data and diagnosis and treatment. Results 46 cases of traffic injuries (56%), 17 cases of falling injuries (20.7%), stab wounds in 11 cases (13.4%). 71 cases (86.6%) of hematuria, 31 cases (37.8%) of peritoneal irritation and 69 cases (84.1%) of back pain. B-ultrasound 80 cases, the positive rate of 97.5%, 51 cases of CT examination, the positive rate was 100%, IVP examination in 31 cases, the positive rate of 71.3%. Conservative treatment of 57 cases, accounting for 69.5%, 25 cases of surgical treatment, accounting for 30.5%. 77 cases were cured and 5 cases died (6%). Conclusion Kidney damage can be diagnosed on the basis of medical history, clinical symptoms and auxiliary examinations. Strict control of surgical indications and non-surgical treatment of renal injury is the key to treatment.