目前,肾损伤的诊断已不能满足于有无肾损伤,更重要的是进一步明确肾损伤的程度与范围。外伤史、症状和体征、尿液检查等对确定有无肾损伤极为重要。凡腰部、胁或上腹部受伤后如有血尿即可诊断为肾损伤,但须进一步检查以明确其损伤程度与范围。在合并腹部脏器伤时,肾损伤的症状可能被掩盖而误诊,因此查尿很重要。肾损伤时如有后腹膜破裂可出现腹膜刺激症状,常误为腹内脏器伤,须严密观察。穿透性肾损伤的重要表现是伤口部位和血尿。从伤口部位及伤道的走行方向可推断有无肾损伤。多发伤伤员有血尿时,肾损伤的可能性很大,但须排除血 At present, the diagnosis of kidney injury can not be satisfied with or without renal injury, more importantly, to further clarify the extent and extent of kidney damage. History of trauma, symptoms and signs, urinalysis, etc. to determine whether there is kidney damage is extremely important. Where the waist, threatening or upper abdomen if hematuria after injury can be diagnosed as kidney damage, but further examination to determine the extent and extent of damage. In the combined abdominal organ injury, the symptoms of kidney damage may be masked and misdiagnosed, so check the urine is very important. Renal injury, such as peritoneal rupture may occur after peritoneal irritation, often mistaken for intra-abdominal organ injury, to be closely observed. The important manifestation of penetrating renal injury is the wound site and hematuria. From the wound site and the direction of the injury can be deduced with or without renal injury. Multiple injuries, hematuria, the possibility of kidney damage, but to be excluded from the blood