紧急程度中等
-中度严重
继发于创伤，肿胀或突然减速的肾损伤。
造成肾损伤的原因很多（交通事故，意外坠落，工伤事故，枪械和武器伤害，运动事故等）。
它们表现为腰部疼痛，血肿，肌肉挛缩和尿液中的血液。如果肾脏周围的筋膜（层）断裂并停止含有血肿，则患者可能由于大量出血而出现低血容量性休克的体征和症状。
通过临床病史，体格检查和各种测试（分析，腹部X射线，腹部超声，计算机断层扫描，静脉肾盂造影和/或动脉造影）进行诊断以确认诊断。
治疗将取决于病变：如果尿液泄漏或血液收集，它将通过经皮引流管（通过皮肤）排出。将紧急开展肾爆，枪伤和刀伤的病例。
- Michael S Runyon. Blunt genitourinary trauma: Initial evaluation and management. UpToDate Apr 20, 2015.
- Serafetinides E, Kitrey ND, Djakovic N, et al. Review of the current management of upper urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol 2015; 67:930.
- Siram SM, Gerald SZ, Greene WR, et al. Ureteral trauma: patterns and mechanisms of injury of an uncommon condition. Am J Surg 2010; 199:566.
- Gerstenbluth RE, Spirnak JP, Elder JS. Sports participation and high grade renal injuries in children. J Urol 2002; 168:2575.
- Sangthong B, Demetriades D, Martin M, et al. Management and hospital outcomes of blunt renal artery injuries: analysis of 517 patients from the National Trauma Data Bank. J Am Coll Surg 2006; 203:612.
- Fraser JD, Aguayo P, Ostlie DJ, St Peter SD. Review of the evidence on the management of blunt renal trauma in pediatric patients. Pediatr Surg Int 2009; 25:125.
医生 Oscar Garcia-Esquirol
版权© TeckelMedical 2026
