5级肾损伤的保守治疗1例。

IF 0.5 Q4 UROLOGY & NEPHROLOGY Urology Case Reports Pub Date : 2025-01-01 DOI:10.1016/j.eucr.2024.102910
Abdirahman Burale , Elias Sertse , Solomon Bishaw , Ferid A. Abubeker , Musse Ahmed , Samatar Abshir Mohamed , Hassan Sh Abdirahman Elmi
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引用次数: 0

摘要

钝性创伤是肾脏损伤的常见原因,通常保守处理,除非有血流动力学不稳定,需要手术。我们报告一例22岁男性孤立的5级肾损伤,在钝性创伤后通过CT扫描诊断。尽管病情严重,但通过ICU的保守管理,他成功地接受了手术治疗,并经常监测和稳定病情。尽管对于血流动力学稳定的5级肾损伤的最佳治疗方法仍存在争议,但我们的病例表明,当患者仔细监测任何不稳定迹象时,保守治疗是一种可行的选择。
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Conservative management of grade 5 renal injury: Case report
Blunt trauma is a common cause of renal injuries, usually managed conservatively unless there's hemodynamic instability, which warrants surgery. We present a case of a 22-year-old male with isolated Grade 5 renal injury, diagnosed via CT scan after blunt trauma. Despite the severity, he was successfully treated without surgery through conservative management in the ICU, with frequent monitoring and stabilization of his condition. While the best approach for hemodynamically stable Grade 5 renal injuries remains debated, our case suggests that conservative management is a viable option when patients are carefully monitored for any signs of instability.
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来源期刊
Urology Case Reports
Urology Case Reports Medicine-Urology
CiteScore
0.90
自引率
20.00%
发文量
325
审稿时长
37 days
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