Management of Pediatric Grade IV Renal Trauma

被引：17
|
作者：
Murphy, Gregory P. [1 ]
Gaither, Thomas W. [1 ]
Awad, Mohannad A. [1 ,2 ]
Osterberg, E. Charles [3 ]
Baradaran, Nima [4 ]
Copp, Hillary L. [1 ]
Breyer, Benjamin N. [1 ,5 ,6 ,7 ]
机构：
[1] Univ Calif San Francisco, Dept Urol, San Francisco, CA 94143 USA
[2] King Abdulaziz Univ, Dept Surg, Rabigh, Saudi Arabia
[3] Univ Texas Austin, Dept Urol, Dell Med Sch, Austin, TX 78712 USA
[4] Med Univ South Carolina, Dept Urol, Charleston, SC 29425 USA
[5] Univ Calif San Francisco, Dept Biostat & Epidemiol, San Francisco, CA 94143 USA
[6] Zuckerberg San Francisco Gen Hosp, 1001 Potrero Suite 3A, San Francisco, CA 94110 USA
[7] Ctr Trauma, 1001 Potrero Suite 3A, San Francisco, CA 94110 USA
来源：
CURRENT UROLOGY REPORTS | 2017年 / 18卷 / 03期
关键词：
Pediatric; Renal trauma; Grade IV laceration; SELECTIVE ANGIOEMBOLIZATION; INJURIES; GUIDELINES;
D O I：
10.1007/s11934-017-0665-z
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of Review Review the current literature regarding the management of grade IV renal injuries in children. Recent Findings Children are at increased risk for renal trauma compared to adults due to differences in anatomy. Newer grading systems have been proposed and are reviewed. Observation of most grade IVrenal injuries is safe. Operative intervention is necessary for the unstable patient to control life-threatening bleeding with either angioembolization or open exploration. Symptomatic urinomas may require percutaneous drainage and/or endoscopic stent placement. Ureteropelvic junction (UPJ) disruption, seen more often in children, requires immediate surgical repair. Summary Grade IV renal injuries in children are increasingly managed in a conservative manner.
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页数：6
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