Kidney Trauma - A Review of 28 Cases
摘要
From March 1979 to ,28 patients with renal injuries seen at Veterans General Hospital-Teipei were reviewed. Sixteen injuries (57.1%) were caused by traffic accident, 4 (14.3%) by falling accident and 4 (14.3%) by stab wounds. Two of 24 patients (8.3%) had a normal urinalysis. One of 11 patients who received intravenous urography (IVU) normal finding. Computerized tomography (CT) was performed in 18 patients to find all with abnormalities. The most common one was perirenal hematoma (44.4%). Associated injuries were found in 17 of 28 patients (60.7%), and the most common were spleen rupture and hemothrax. Among 14 stable renal injuries initially treated conservatively, there were 4 complications including 3 cases of renal function deterioration and I case of elevation of blood pressure. The 14 injuries that were explored included 7 with shattered kidney (50.0%), 1 with renal pedicle injury (7.1%), 4 with renal laceration (28.6%) and 2 with renal contusion (14.3%). Two patients (7.6%) expired due to severe shock CT was more accurate than IVUin the diagnosis of renal trauma and the surgical treatment for renal laceration or fragmentation provides a satisfactory outcome.