患者男性,19岁。炮弹片炸伤右腰部6天,于1979年2月27日入院。患者于同年2月21日被炮弹片炸伤右腰部后,伤口流血较多伴肉眼血尿。23日在前线医院施行右腰部弹片取除术,常规清创缝合。次日畏寒、高热、右腰部胀痛。血尿持续至25日。入院检查:体温38℃,腹部膨隆,肠鸣活跃。右腰部有一缝合感染伤口长约10cm。入院后拆除缝线,次日晨创道内流出澄黄色液体,约800ml左右。第四日由静脉推注靛胭脂后,自右腰肌深层伤道内溢出蓝色液体,疑为右侧输尿管损伤。当即于硬膜外麻醉下施行右侧输尿管造瘘术。取右腹 Male patient, 19 years old. Shells injured the right lower abdomen 6 days, was admitted on February 27, 1979. Patients in the same year on February 21 after the blast injury was the right waist, the wound bleeding more with gross hematuria. On the 23rd in the front line hospital implementation of the right waist shrapnel, conventional debridement and suture. The next day chills, fever, right lower back pain. Hematuria lasts until 25th. Admission examination: body temperature 38 ℃, abdominal bulging, bowel activity. The right waist has a stitched wound about 10cm long. After admission, the stitches were removed and the clear yellow liquid outflowed in the morning of the next morning about 800ml. On the fourth day after intravenous injection indigo rouge, deep blue wounds from the right waist muscle overflow, suspected ureteral injury on the right. Right ureterostomy was performed immediately under epidural anesthesia. Take the right abdomen