肾损伤临床较为常见,在合并有其他多脏器损伤时,处理上有一定难度。我院于1970年1月～1998年1月收治肾损伤病人132例,本文针对严重复合性肾损伤的急诊处理提出讨论。 1 临床资料 1.1 一般情况 复合性肾损伤132例,占同期外伤入院患者的6.2％(132/2129,骨科除外),是同期肾损伤入院患者的36.4％(132/363)。其中男104例、女28例,年龄12～80岁,青壮年108例占81.8％。致伤原因:(1)挤压、撞跌伤94例(71.2％),(2)打击伤18例(13.6％),(3)刺伤9例(6.8％),(4)其它11例(8.3％)。 1.2 临床表现 132例中闭合性损伤122例,开放性损伤10例(全部刀刺伤)。血尿132例(100％),肉眼血尿89例(67.4％)。伤侧腰痛,叩击痛132例(100％),腹膜刺激征阳性79例(59.8％),腹腔出现移动性浊音52例(39.4％),穿 Kidney injury is more common in clinical, combined with other multiple organ injury, the treatment has a certain degree of difficulty. In our hospital from January 1970 to January 1998, patients with kidney injury were treated 132 cases, this article for the treatment of severe combined renal injury emergency treatment are discussed. 1 Clinical data 1.1 General 132 cases of composite renal injury, accounting for 6.2% of hospitalized patients with traumatic injury in the same period (132/2129, except orthopedics), 36.4% (132/363) admitted to hospital with renal injury over the same period. Including 104 males and 28 females, aged 12 to 80 years, 108 cases of young adults accounted for 81.8%. The cause of injury was as follows: (1) 94 cases (71.2%) of squeezing and crashing injuries, (2) 18 cases of wounding injury (13.6%), 9 cases of stabbing injury (6.8%) and 4 cases of other 11 cases (8.3%). 1.2 Clinical manifestations of 132 cases of 122 cases of closed injury, open injury in 10 cases (all stab wounds). Hematuria in 132 cases (100%), gross hematuria in 89 cases (67.4%). There were 132 cases (100%) with perineal low back pain, percussion pain, 79 cases (59.8%) with positive peritoneal irritation, 52 cases (39.4%