Long term outcome of conservatively managed grade iv blunt kidney trauma

Year 2017, Volume: 12 Issue: 3, 49 - 52, 01.10.2017

Murat Bağcıoğlu , Mehmet Uslu Sibel Karayol Ramazan Kocaaslan Ümit Yener Tekdoğan

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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