title: [Gunshot wounds of the kidneys].
abstract: Upon the analysis of the treatment for gunshot wounds of the kidneys (n = 113), it is concluded that in the majority of cases such wounds (91.1%) were associated with additional injuries of other viscera, this complicating the diagnosis and treatment, aggravating the prognosis. At admission, 81.4% of the wounded were in shock, with signs of hemorrhage. Serious condition of the patients dictated urgent surgery imposing limitations on diagnostic examinations, e.g. intravenous urography was performed in 5.3% of the cases only. Therefore, preoperative detection of renal injuries was far from universal. (55.6%). Hematuria prompted renal damage in 74% of cases. 92% of the wounded underwent surgery, in 62.8% of them it was nephrectomy. Serious combined wounds terminated in lethal outcomes in 50.4% of cases, though renal damage was responsible for 4% of deaths only. Introduction of up-to-date methods of examination (CT, ultrasonography, excretory urography) may raise the frequency of the kidney-preserving operations and favourable outcomes.
authors.forename: I A
authors.initials: IA
authors.lastname: Goriachev
authors.forename: E S
authors.initials: ES
authors.lastname: Shpilenia
mesh_terms: D004630:Emergencies; D006417:Hematuria / Q000209:etiology / Q000401:mortality / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000293:injuries* / Q000601:surgery; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D009392:Nephrectomy; D012774:Shock, Traumatic / Q000209:etiology / Q000401:mortality / Q000601:surgery; D014948:Wounds, Gunshot / Q000150:complications / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery
vernacular_title: Ognestrel'nye raneniia pochek.