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肾损伤时,由于其周围组织的保护作用,使它不同于腹腔内其他实质器官,对于一般性的出血具有较强的自限性,故目前对于肾损伤多倾向于保守治疗。但对于较严重的肾损伤,尤其是保守治疗无效时,手术探察往往导致较高的肾切除率。而施行损伤控制性手术,简单快速地控制出血与污染,则能最大限度地保存有功能的肾组织。在重度肾损伤的救治中,损伤控制外科已越来越显示出其优越性。
Kidney injury, due to the protective effect of its surrounding tissue, making it different from other abdominal intrapulmonary organs, for the general hemorrhage with a strong self-limiting, so the current tend to be more conservative treatment of renal damage. However, for more severe kidney injury, especially when conservative treatment is ineffective, surgical exploration often results in higher rates of nephrectomy. The implementation of damage control surgery, simple and rapid control of bleeding and pollution, you can maximize the preservation of functional renal tissue. In the treatment of severe renal injury, injury control surgery has increasingly shown its superiority.