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Journal of the Korean Society of Traumatology 2003;16(2):137-141.
Clinical Manifestation on Cases of Renal Injury with Nephrectomy
Kyung Seop Lee, M.D.
Department of Urology, College of Medicine, Dongguk University, Gyeongju, Korea
신손상 환자에서 신적출술을 시행받은 환자의 임상적 양상
동국대학교 의과대학 비뇨기과학교실
Background: To evaluate retrospectively an clinical manifestation on cases of renal injury with nephrectomy, we reviewed our experiences with acutely renal-injured patient. Methods: The outcomes of treatments of 20 patients who had been managed by nephrectomy after renal injury were reviewed retrospectively with respect to age, sex, cause, clinical manifestations, physical examination, degree of renal injury (grade Ⅰ-Ⅴ), radiologic findings, injuries of other organ, complication and follow-up examinations. Results: Twenty patients with renal injuries who had undergone an explolaparotomy were identified. Seventeen (17) patients survived, but the and other three (3) patients died. The most common cause was motor-vehicle accidents (16 cases 80.0%). Clinical manifestations were flank pain in (14 cases 70.0%), drowsy mentality in (4 cases 20.0%), and gross hematuria in (1 case, 5.0%). Associated injuries were seen in 17 cases (85.0%). The most common associated injury was pneumothorax in 7 cases (18.9%). The causes of nephrectomy were a shattered kidney in 10 cases, hemodynamicinstability status in 6 cases, renal pedicle injury in 1 case, generalized peritonitis in 2 cases and urinoma formation in 1 case. Conclusion: Patients who undergo trauman ephrectomy tend to be severely injuried, and hemodynamicinstability was a major indication of nephrectomy.
Key Words: Renal injury; Nephrectomy


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