|
KMID : 0376119920190020283
|
|
Medical Journal of the Red Cross Hospital
1992 Volume.19 No. 2 p.283 ~ p.290
|
|
|
Pediatric Renal Injuries
|
|
|
|
|
Abstract
|
|
|
Pediatric renal injuries differ from those of adults in many aspects. The incidence and severity of renal injury in children are greater than in adults and a significant number of pediatric cases are seen after minor blunt trauma. Thus more
attenition
should be paid to suspect the renal injury in cases of blunt abdominal trauma including automobile accidents and falls in children.
Recently the diagnostic accuracy of determining the severity of renal injury is relatively high, which enables the physician to determine the selection of treatment modality more easily and enhance the possibility of children with renal injury
may
be
affected mainly by the hospital capability of having medical equipments and the experience of the physicians.
From 1972 to 1989 a total 37 of pediatric patients(age<17 yr; 25 boys, 12 females) with renal injury were admitted.
The various causes included traffic accidents(20 patients), falls(11 patients) and blow or kick injuries(6 patients). Types of renal injuries were contusion (52%), minor injury(16%) and major injury(32%). Associated injuries were present in 32%
of
the
patients, including head injuries(22%), bone fractures(19%), splenic injury(11%). Pre=existing renal diseases were presented in 8% of the patients, including hydronephrosis(2 patients), double collecting system(1 patient).
Evaluation of the renal injuries was made by DIP or IVP(26 patients), renal angiography(one patient), ultrasonography(11 patients) and CT(6 patients) and diagnostic accuracies of DIP(or IVP), ultrasography and computed tomography were 65%, 82%
and
100%,
respectively.
Conservative mangagement was done for most of the patient with contusion and minor injury, and operation for major injury as principle: 31 patients were treated by conservative management and 6 patients were treated surgically.
These results suggest that excretory urography for children is incorrect and ultrasonography is excellent screening procedures but computed tomography is the best correctable method to detect the extent of renal injuries and heplful to define the
management of pediatric renal injury.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|