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中華民國泌尿科醫學會雜誌

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篇名 Computed Tomography in Evaluation of Blunt Renal Trauma
卷期 2:1
並列篇名 Computed Tomography in Evaluation of Blunt Renal Trauma
作者 邱基旭林信男唐一清蔡宏名
頁次 392-397
關鍵字 blunt renal traumacomputed tomographyTSCI
出刊日期 199103

中文摘要

在一年半的時間裡,共有十六位被認為有腎臟鈍傷的患者,被送至本院,經選擇後,給予電腦斷層攝影檢查,經由電腦斷層的檢查結果分類,有四位患者被歸類在輕腎傷害組,其於十二位被歸類在重腎傷害組,在這十六位患者中只有四位雖經大量輸血後,仍因無法維持穩定的生命徵象,而須給予開刀治療來挽救生命,這四位患者均在重腎傷害組裡。另外在所有須要開刀的四位患者及一位採取保守治療的患者,在他們的電腦斷層攝影檢查,發現有腎旁血塊的形成。我們的結論是電腦斷層攝影的確可以幫助泌尿科醫生來處理腎鈍傷的患者,如果電腦斷層攝影檢查發現有重腎傷害及合併有腎旁血塊的形成,則須考慮開刀來挽救患者的生命

英文摘要

Over one and half years, 16 patients admitted to this hospital with the diagnosis of blunt renal trauma were selected to perform computed tomography (CT) scanning. By the CT, renal injuries were categorized into minor and major injury. The minor in-juries included contusion of the kidney, shallow cortical laceration and forniceal disrup-tion. The major injuries consisted of renal pedical injury, deep laceration (into medulla), multiple lacerations (shattered kidney) and collecting system injury. There were 4 pa-tients with minor injuries and 12 ptients with major injuries in the CT finding. Among the 16 patients, only 4 patients could not achieve stable vital signs despite massive blood transfusion and finally they must receive surgical exploration for life sav-ing. These 4 patients were all in the group of major injury, of them 1 with deep lac-eration and the other 3 with multiple lacerations (shattered kidney). All of the 4 surgical patients and only 1 of 12 conservative treatment patients were present pararenal hematoma. The outcome of the patients were all good success. In conclusion, the CT findings will be helpful to the urologist to make decision for management of renal trauma. If the CT scanning revealed major injuries associat-ed with pararenal hematoma, surgical exploration for life saving must be considered. (J Urol R.O.C., 2:392-397, 1991)

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