Aetiology, diagnosis and treatment of patients with renal trauma. A survey on patients in the Tampere area during two decades.
A material of 185 renal traumas treated during 1972-1991 was analyzed. A typical patient was a young man; the mean age was 30 years. The most common aetiology was traffic accident (45%). Penetrating traumas were rare (2%). The most common and significant finding was macroscopic haematuria, but the absence of haematuria did not exclude renal trauma. Unexpected findings were seen in 7% of cases. The most common renal injuries were contusion (69%) and laceration (20%) which were mostly treated conservatively (85%) with good results. Only 15% of patients were operated. Renal complications were few both in the conservatively and in the surgically treated patients. No mortality was seen.
Kulmala
R
R
Department of Surgery, Tampere University Hospital, Finland.
Seppänen
J
J
Heikkinen
A
A
Auvinen
O
O
D000058:Accidental Falls; D000063:Accidents, Traffic; D000328:Adult; D017677:Age Distribution; D001265:Athletic Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D017678:Sex Distribution; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D014951:Wounds, Stab / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy