Long term outcome of conservatively managed grade iv blunt kidney trauma

Abstract

A conservative approach to low grade kidney injuries in the pediatric patient population is a commonly employed and well-known strategy. In cases of high grade renal damage, exploration is recommended. However, it should be kept in mind that, particularly in the pediatric age group, high grade renal injury cases accompanied by urinary extravasation can be concluded with complete resolution when treated with a conservative approach including bed-rest and urethral catheterization; in the short- or long-term without any complications or damage to the renal parenchyma. Even though approaches to higher grade kidney injuries in recent years have been in favor of a conservative approach, in cases of hemodynamic instability, the traditional exploration method is recommended

Keywords

• renal injury,conservative management,prognosis

Konservatif yaklaşım uygulanan Grade IV künt böbrek travmasının uzun dönem sonucu: Olgu sunumu

Abstract

Pediatrik hasta grubunda düşük dereceli böbrek yaralanmalarına yaklaşımda konservatif yaklaşım yaygın ve bilinen bir stratejidir. Yüksek dereceli böbrek hasarlarında ise eksplorasyon önerilmektedir. Ancak, özellikle çocuk yaş grubundaki hastalarda, üriner ekstravazasyonun eşlik ettiği yüksek dereceli böbrek yaralanması olan olgularda, yatak istirahati ve üretral kataterizasyonu içeren konservatif yaklaşımın erken ve uzun dönemde herhangi bir komplikasyona neden olmadan, böbrek parankim hasarı olmadan tam iyileşme ile sonuçlanabileceği akılda tutulmalıdır. Yüksek dereceli böbrek yaralanmalarına yaklaşım son yıllarda konservatif yöntem lehine değişim içinde olsa da hemodinamik insitabilitenin olduğu vakalarda ise geleneksel eksplorasyon yöntemine başvurulmalıdır.

Keywords

• böbrek yaralanması,konservatif yaklaşım,prognoz.

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