Renal Trauma an Analysis of 78 Cases

Abstract

Between the years of 1978 and 1983, that is during 5 years, a total of 78 patients, 13 of whom had penetrating and 65 of whom had blunt renal injury were treated in our hospital. 26 patients were classified as major renal injury and 52 patients was minor. Gross hematuria existed in 61 (%78) patients. Of 13 patients classified as having major injuries, 7 had positive IVPs, 89 percent of blunt iniuries were treated conservatively, while 8 percent of penetrating iniuries were treated conservatively. 7 patients with blunt injuries and 8 patients with penetrating injuries required nephrectomies. 4 patierits with penetraiting injuries undervent renorrhaphy. In the 65 blunt renal injuries, there were 4 deaths, There were 6 deaths in the 13 penetrating injuries. 26 percent of the patients with renal trauma had major associated injuries.

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BÖBREK YARALANMASI: 78 OLGUNUN ANALİZİ

Abstract

1978-1983 yılları arasındaki 5 yıllık sürede hastanemizde 13'ü panetran, 65i künt renal travma olmak üzere toplam 78 olgu tedavi edildi. 26 olgu majör, 52 olgu minör yaralanma gurubu içinde sınıflandı. Makroskopik hematüri 61 (%78) olguda mevcuttu. Majör yaralanma gurubu içinde sınıflanan 13 olgudaki IVP nin 7'sinde kesin pozitif bulgular vardı. Künt yaralanmaların, %89'unda, penetran yaralanmaların ise %8'inde konservatif tedavi uygulandı. 7 künt ve 8 penetran yaralı hastada nefrektomi gerekti. Penetran yaralı 4 hastada da renorafi yapıldı. Künt renal travmalı 65 hastanın 4'ü, penetran renal travmalı 13 hastanın 6'sı vefat etti. Olguların %26'sında önemli diğer organ yaralanması da vardı.

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