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肾创伤患者肾脏探查、肾切除或肾修补的手术指征至今仍有争论。有人主张对所有严重肾创伤早期进行探查,但亦有人认为非手术疗法能最大限度地保留肾脏。探查肾周血肿前设法控制并防止肾脏出血,有利于肾脏探查和伤肾保留。为探讨这一问题,作者对同一医院不同时期因肾创伤而手术探查的两组病例进行分析对比。Ⅰ组(1964~1973年)185例,Ⅱ组(1977~1981年)190例。
Renal trauma patients kidney exploration, nephrectomy or renal repair indications of surgery are still controversial. Some people advocate the early exploration of all serious kidney trauma, but some people think that non-surgical treatment to maximize the retention of the kidneys. Proximal hematoma exploration to try to control and prevent renal bleeding, kidney exploration and injury is conducive to retention. To explore this issue, the authors analyzed and compared two groups of patients who were surgically probed with renal trauma in the same hospital at different times. 185 cases in group Ⅰ (1964-1973) and 190 cases in group Ⅱ (1977-1981).