The Assessment and Management of Severe Renal Trauma

Fowler, James W.; Smith, M. F.; Buist, T. A. S.

doi:10.1111/j.1464-410x.1982.tb08936.x

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Introduction1

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1983

1985

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Cited by 10 publications

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“…Einstimmigkeit besteht hinsichtlich der konservativen Behandlung des leichten (Grad I nach Hodges) und der chirurgischaggressiven Therapie der kritischen Nierenverletzung (Grad III) (1,2,7,12,13,17,21,23,26,27,30,31,32,42,43,44,45,47). Umstritten ist der Grenzbereich zwischen beiden Therapieformen innerhalb der Gruppe des schweren Nierentraumas (Grad II): hier besteht eine Problemgruppe von etwa 5-10% (Abb.…”

Section: Introductionunclassified

Das stumpfe Nierentrauma: eine differenziertere Klassifikation als Grundlage einer stadiengerechten Therapie

Rassweiler¹,

Eisenberger²,

Buck³

et al. 1984

Aktuel Urol

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Section: Introductionunclassified

Das stumpfe Nierentrauma: eine differenziertere Klassifikation als Grundlage einer stadiengerechten Therapie

Rassweiler¹,

Eisenberger²,

Buck³

et al. 1984

Aktuel Urol

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Haematuria after blunt trauma: the role of pyelography

Demetriades

Rabinowitz

Sofianos

et al. 1985

Journal of British Surgery

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This study is a combined prospective and retrospective review of 208 patients presenting with haematuria after blunt abdominal trauma. One hundred and twelve patients had an urgent intravenous pyelogram (IVP) with cystogram performed, while the remaining ninety-six were observed with serial urinalysis without any further investigation. Nineteen of the twenty-three patients with a positive IVP had gross haematuria and the remaining four had microscopic haematuria. Twenty-two of the patients with an abnormal IVP had positive abdominal signs, whilst only one case (with severe head injury) had no abdominal signs. In the 96 cases who were observed without IVP no complications occurred. It is suggested that if certain clinical criteria are observed most patients with post-traumatic microscopic haematuria can safely be spared an IVP. Indications for emergency IVP should include: gross haematuria or microscopic haematuria associated with abdominal signs or severe head injury or fracture of pelvis or spine. Had these criteria been observed during this study, 130 patients (62 per cent) would have avoided the risks and expenses of an IVP, and no significant urological injury would have been missed.

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