Our clinical approach to patients with renal trauma

Abstract

Objective: In this study, our clinical approach to patients with renal trauma is evaluated. Method: Retrospective analysis was made for the data of 182 patients who applied to and were monitored and treated at Malatya Training and Research Hospital between 2014-2018 for isolated renal trauma. Demographic characteristics such as age and gender, the ways of injury, vital findings at first diagnosis, treatment method and complication data were collected for the patients. Grading of the renal trauma was performed based on the organ injury scale of the American Association for the Surgery of Trauma. Results: The mean age of the patients diagnosed with renal trauma was found as 32.4 year (18-68 year). 151 of these patients (82.9%) were male and 31 (17.1%) of them were women. When the ways of injury were examined, it was found that 55 (30.2%) patients had penetrating injuries and 127 (69.8%) of them had blunt injuries. The distribution of renal trauma according to the American Association for the Surgery of Trauma organ injury scale was 64, 62, 41, 12 and 3 for Grade 1-2-3-4-5 injuries respectively. 170 patients underwent conservative treatment. The average duration of hospital stay for the patients was found to be 7.08 (4-12) days. Conclusion: Conservative treatment should be attempted primarily in all patients with renal injury and hemodynamic stability.

Böbrek travması olan hastalarda klinik yaklaşımımız

Abstract

Amaç: Bu çalışmamızda böbrek travması olan hastalara klinik yaklaşımımız değerlendirildi. Yöntem: 2014-2018 yılları arasında Malatya Eğitim ve Araştırma Hastanesi Acil Servisi’ne travma nedeniyle başvuran hastalarda tespit edilen izole böbrek travması tanısı ile takip ve tedavi edilen 182 hastanın verileri retrospektif olarak incelendi. Hastaların yaş, cinsiyet gibi demografik özellikleri, yaralanma şekilleri, ilk tanı anındaki vital bulguları, tedavi metotları ve gelişen komplikasyon verileri toplandı. Böbrek travmasının derecelendirilmesi Amerikan Travma Cerrahi Birliği’nin organ yaralanma şiddeti ölçeğine göre yapıldı. Bulgular: Renal travma tanısı konulan hastaların yaş ortalaması 32,4 yıl (18-68 yıl) idi. Bu hastaların 151’i (%82,9) erkek iken, 31’i (%17,1) kadındı. Yaralanma şekilleri değerlendirildiğinde 55 (%30,2) hastada penetran yaralanma ve 127 (% 69,8) hastada künt yaralanma olduğu görüldü. Böbrek travmalarının Amerikan Travma Cerrahi Birliği organ yaralanması skalasına göre dağılımının Grade 1-2-3-4-5 yaralanmalar için sırasıyla 64, 62, 41, 12 ve 3 olduğu tespit edildi.  Hastaların 170’ inde konservatif tedavi uygulandı. Hastaların ortalama hastanede kalış süresi 7,08 (4-12) gün olarak bulundu. Sonuç: Böbrek yaralanması olan ve hemodinamisi stabil olan hastaların hepsinde öncelikli olarak konservatif tedavi yaklaşımı denenmelidir.

Keywords

• Böbrek,Travma,Nefrektomi,Konservatif Tedavi

References

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