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目的总结闭合性肾损伤的诊疗措施,提高肾损伤诊疗水平,降低肾切除率。方法回顾性分析全州县人民医院1998年2月至2012年12月收治的178例闭合性肾损伤患者的临床资料。结果 178例肾损伤患者中154例采取保守治疗,手术探查24例(肾切除11例,肾修补13例),治愈出院170例(占95.5%),死亡8例(占4.5%);68例出院患者获得3个月～4年的随访,除3例出现肾性高血压、4例肾萎缩外,其余肾功能均恢复良好。结论 B超、CT等影像学检查可对闭合性肾损伤进行确诊,并能判断肾脏及其他脏器损伤程度;治疗方案应根据患者病情来决定,大多数肾损伤患者可采取保守治疗,严重时需手术干预。
Objective To summarize the diagnosis and treatment of closed renal injury, improve the diagnosis and treatment of renal injury, and reduce the rate of nephrectomy. Methods The clinical data of 178 patients with closed renal injury admitted from February 1998 to December 2012 in Quanzhou County People’s Hospital were retrospectively analyzed. Results Of the 178 cases of renal injury, 154 cases were conservatively treated. Surgical exploration was performed in 24 cases (11 cases of nephrectomy and 13 cases of renal repair), 170 cases were cured and discharged (95.5%), and 8 cases died (4.5%). 68 cases Patients discharged from hospital for 3 months to 4 years of follow-up, except for 3 cases of renal hypertension, 4 cases of renal atrophy, the rest of the kidney function recovered well. Conclusion B-ultrasound, CT and other imaging studies can confirm the diagnosis of closed renal injury, and can determine the extent of kidney and other organ damage; treatment options should be determined according to the patient’s condition, most patients with renal injury may take conservative treatment, severe Need surgical intervention.