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目的总结闭合性肾损伤并合并伤的诊治体会,提高治疗效果。方法回顾分析63例闭合性肾损伤并合并伤的诊治资料。结果 63例闭合性肾损伤并合并伤患者中,保守治疗20例,发生并发症2例;手术治疗43例,其中肾切除20例,肾部分切除4例,肾修补术8例,探查引流术11例。死亡5例,死亡率7.9%。结论准确判断肾损伤的程度和合并伤的种类,严格掌握手术治疗和非手术治疗指征是处理肾损伤并合并伤的关键。
Objective To summarize the experience of diagnosis and treatment of closed kidney injury combined with injury and improve the therapeutic effect. Methods Retrospective analysis of 63 cases of closed renal injury and combined injury diagnosis and treatment data. Results Of the 63 patients with closed renal injury and combined injury, conservative treatment of 20 cases, 2 cases of complications; surgical treatment of 43 cases, including 20 cases of nephrectomy, partial nephrectomy in 4 cases, renal repair in 8 cases, exploration and drainage 11 cases. 5 deaths, the mortality rate of 7.9%. Conclusion Accurately determine the extent of renal injury and the type of injury, strict control of surgical indications and non-surgical treatment of renal injury is the key to injury.