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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2023.3
- 수록면
- 21 - 26 (6page)
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Purpose: Renal injury occurs in up to 5% of trauma cases and the kidney is the third most woundedabdominal organ. The study objective was to analyze clinical characteristics of patients with blunt renaltrauma and review the treatment of high-grade blunt renal injuries.Methods: The medical charts of trauma patients who visited Haeundae Paik Hospital between March2010 and February 2020 were retrospectively analyzed. Data on demographics, injury patterns, clinicalpresentation, management, and outcomes were analyzed.Results: A total of 68 patients with renal trauma were included in this study. The most common renalinjury was Grade III (n = 27, 39.7%). Falling was the predominant mechanism of injury (n = 33, 48.5%),and 23.5% (n = 16) of patients sustained isolated renal trauma. Organ damage related to kidney injuryincluded chest injury (57.4%, n = 39) and abdominal or pelvic content injury (48.5%, n = 33). Theoverall mortality rate was 2.9% (n = 2). There were 45 cases of high-grade renal trauma (AAST Kidneyinjury scale Grade Ш-V). There was no statistical difference in the outcomes of high-grade (n = 44,97.8%) and low-grade (n = 23, 100%) renal trauma patients who received nonoperative treatment (p =0.511). Variables did not differ significantly, except for the injury severity score which was statisticallysignificantly different between low-grade and high-grade renal trauma patients (p = 0.001).Conclusion: Most patients with traumatic renal injury, even those with high-grade injury, can bemanaged by nonoperative treatment, and have a good prognosis.
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