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目的探讨肾损伤的诊断和治疗方案。方法回顾分析68例肾损伤的诊治资料。结果68例病人均有血尿,伴有合并伤23例;B超检查65例,其中55例(84.6%)有异常表现;CT检查22例,阳性20例(90.9%)IVU检查18例,有异常表现12例(66.7%)。手术18例(26.3%),非手术50例(73.7%),死亡1例(1.5%),治愈67例(98.5%),41例随访1年以上,血压、尿常规、肾功能正常。结论尿液检查和B超检查快速安全无损伤,CT检查准确率高,并能同时了解其他器官情况。如损伤严重需外科处理,应及时手术探查。
Objective To investigate the diagnosis and treatment of renal injury. Methods Retrospective analysis of 68 cases of renal injury diagnosis and treatment data. Results Sixty-eight patients had hematuria with 23 cases of combined injury, 65 cases were diagnosed by B-mode ultrasonography, of which 55 cases were abnormal (84.6%). CT was performed in 22 cases and positive in 20 cases (90.9%). Abnormal manifestations in 12 cases (66.7%). 18 cases (26.3%) were surgery, 50 cases (73.7%) were nonoperative, 1 died (1.5%), 67 cases were cured (98.5%), 41 cases were followed up for more than 1 year. Blood pressure, urine and renal function were normal. Conclusion The urinalysis and B-ultrasound are safe and non-destructive, the accuracy of CT examination is high, and the situation of other organs can be understood at the same time. If serious damage to surgical treatment, surgical exploration should be promptly.