[Therapeutic approach in kidney trauma. Assessments of 49 patients treated at surgical emergencies clinics].
The aim of this study is to contribute to efficiency of therapeutical interventions, using an optimal stadialisation followed by a maximum preservation of renal function.


METHODS
A number of 49 cases with polytrauma, included urinary lesions, were studied between January, 2002 and December, 2009. Demographical, clinical, paraclinical data were collected, as well as those regarding therapeutical measures.


RESULTS
From a number of 1436 cases with polytrauma, 49 (3.41%) suffered from urinary tract prejudices and 36 (73.46%) with major kidney lesions--11 (30.55%) severe at admission; 5 (13.89%) patients with multiple lesions and hypovolemic shock. The conservative treatment was applied in 24 (66.64%) cases and other types of surgical interventions for the other patients.


CONCLUSIONS
The urinary apparatus is affected in aproximately 10% of cases of abdominal trauma due to road and falls from heights accidents, especially in patients of 26-50 age groups: 30.5% with severe lesions, 13.89% with hypovolemic shock at admission, and 1 death. The treatment was conservative in 66.64% of cases and various types of surgical interventions for the others patients.
Velenciuc
I
I
Universităţii de Medicină şi Farmacie Gr. T. Popa Iaşi, Spitalul Clinic de Urgenţe Sf. Ioan.
Luncă
S
S
Romedea
N
N
Velenciuc
Natalia
N
Mihalache
St
S
D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D000063:Accidents, Traffic / Q000401:mortality; D000328:Adult; D004632:Emergency Medical Services; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D012769:Shock / Q000209:etiology / Q000628:therapy; D016019:Survival Analysis; D016896:Treatment Outcome