Efficacy of Radiographic Imaging in Pediatric Blunt Renal Trauma
| Autor: | Jack W. McAninch, Allen F. Morey, Jeremy E. Bruce |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Kidney
medicine.medical_specialty Urinalysis medicine.diagnostic_test business.industry Urology urologic and male genital diseases medicine.disease Asymptomatic Surgery Blunt medicine.anatomical_structure Blunt trauma Medicine Radiology medicine.symptom Microscopic hematuria business Prospective cohort study Kidney disease |
| Zdroj: | The Journal of Urology. :2014-2018 |
| ISSN: | 0022-5347 |
| DOI: | 10.1097/00005392-199612000-00036 |
| Popis: | Purpose: We sought to determine whether radiographic imaging can effectively detect significant renal injuries in children with blunt trauma who do not have significant hematuria.Materials and Methods: We reviewed the records of 180 children who presented to our hospital for suspected renal trauma between 1977 and 1995. Results of excretory urography or abdominal computerized tomography were correlated with urinalysis findings and clinical outcome.Results: Of 147 patients with microscopic hematuria after blunt trauma 77 underwent imaging. Only 1 patient had a significant renal injury (grade 2 or greater) and 76 had normal findings or renal contusions only, including 11 with microscopic hematuria and shock. Of the 74 patients who did not undergo imaging a clinical diagnosis of renal contusion was made and followup was available for 57 (77 percent). All patients healed without adverse sequelae. Of 33 patients with gross hematuria significant renal injuries were found in 9, including 3 who required i... |
| Databáze: | OpenAIRE |
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