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1990年我院采用带蒂腰大肌瓣修复肾脏多处裂伤3例,疗效较满意,现介绍如下。 3例中男2例,女1例,年龄19～68岁;2例为压榨伤并肋骨骨折。1例为刀绞伤.3例均有休克。按常规处理后急行手术治疗。取十一肋间切口,出血量为1500～3000mt。探查见肾下极均为多处全层裂伤,并见活动性出血。对出血的大血管用肠线缝扎。止血后,从伤口近处截取一块大小适当的带蒂腰大肌瓣填塞于肾破裂创面处,用3—0肠
In 1990, our hospital used the pedicle psoas muscle flap to repair multiple lacerations of the kidneys in 3 cases, the effect is more satisfactory, are described below. There were 2 males and 1 females in 3 cases, aged from 19 to 68 years old. Two cases were crush injuries and rib fractures. 1 case was knife-edge incision, and 3 cases had shock. According to the routine treatment of urgent surgical treatment. Take eleven intercostal incision, the amount of bleeding 1500 ~ 3000mt. Exploration to see the most common sub-renal full-thickness laceration, and see active bleeding. Bleeding large intestine suture. After hemostasis, an appropriately sized petrosal pedicled great myocutaneous flap was taken from the wound near the wound where the renal rupture occurred,