Abordagem do trauma renal - artigo de revisão: review of the literature

Abstract

Trauma incidence is increasing nowadays. Kidney injuries occur in about 10% of patients with blunt or penetrating trauma, and those lesions add morbidity and mortality when not appropriate care is carried out. A literature review of the most recent papers was done by the authors to clarify diagnosis and final treatment. The correct management is a must to preserve and keep the kidney function, moreover, the quality of life after a trauma event.

Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital

“…T rauma is the leading cause of death in the population under 40 years and is largely responsible for deaths in young adults in Brazil. Renal trauma, although unusual 1 , is of great importance due to the high morbidity and mortality resulting from renovascular injuries 2 , and the definition of conducts and protocols.…”

“…The kidneys are retroperitoneal organs, protected by a layer of perirenal fat and contained by the Gerota's fascia 2 . With these characteristics, they remain the third most affected organ in abdominal trauma, being present in 10% of such occurrences 3 .…”

“…The initial assessment of the trauma patient must follow the protocols of trauma care (ATLS). Renal injury should be suspected from the mechanism of trauma, bruising or presence of holes in the abdominal wall and back 2 . Moreover, clinical signs contribute to the diagnosis, such as hematuria, which present in up to 90% of patients, although its intensity does not correlate directly with the degree of renal injury 2 .…”

Tratamento não operatório de lesão renal e esplênica: relato de caso

“…O trauma urológico mais frequente é o renal que ocorre predominantemente em adultosjovens, do sexo masculino e a etiologia é predominantemente contundente devido a acidentes com veículos motorizados 2 . Menos frequentemente, os rins podem apresentar lesões traumáticas devido às lesões penetrantes ou ao trauma por desaceleração 3 .…”

Blunt abdominal trauma. Kidneys injury. Part 3

“…Повреждение почек имеет место у 1-5% всех пострадавших с травмой [14,72,107], доходит до 15% у пострадавших с травмой живота [12] и зани-мает третье место по частоте после повреждения печени и селезенки [11,43,93,96]. В странах с огра-ниченным доступом гражданского населения к ог-нестрельному оружию закрытая травма почек суще-ственно превышает открытую и составляет пример-но 80-90% [23,54].…”