소아의 신손상 35례의 분석 = Analysis of 35 Cases of Renal Injury in Children

다국어 초록 (Multilingual Abstract)

Objective: The purpose of this study was to describe the clinical features of renal injury in the pediatric population.
Methods and Materials: We retrospectively reviewed the medical records of 35 children with renal trauma who presented to our hospital between 1994 and 2002. Renal injuries were classified as established by the Organ Injury Scaling Committee of the American Association for the Surgery of Trauma in 1989.
Results: Injury of the 35 children with renal trauma, 34 children(97.1%) were injured by blunt trauma. The overall incidence of significant renal injury was 42.8% and the incidence according to the cause was 45.7%, 37.1%, 8.5%, 5.7% in Motor vehicle accidents, falls, assault, and sports. There were 15cases(43.0%), gradeⅠ, 5(14%) grade Ⅱ, 3(8%) gradeⅢ, 5(14%) grade Ⅳ, 7(21%) grade V. Of the 35 patients, 17 cases presented a microscopic hematuria, 16 cases had a gross hematuria, 2 casts were normal. 28 patients(80%) had an associated injury, including Extremity fracture, Liver injury, Thorax injury and Head injury. Surgical exploration was required in 8 patients(23%).
Conclusions: Main causes of injury were blunt abdominal trauma. We found that the degree of hematuria does not correlated with the severity of renal injury. Immediate CT is an valuable aid in patients evaluation.