Kidney damages resulting from multiple trauma

Abstract

We evaluated the medical records of 26 patients with kidney injuries resulting from multiple trauma at urological department. The patients were classified as minör and major depending on the pathological sign. 65.4% of the patients had major renal damage were as 34.6% of the patients had minor renal damage. From kidney injuries 76.8% was blunt injuries. 88.8% of major kidney injuries were associated with multiple organ damage. Surgical treatment's were used for major renal traumas wereas only conservative treatment were used in management of minor renal injuries. While emergency interferances were required only due to early complications of multiple trauma like hemorrage and urinoma, and late complications like hydronephrosis, hypertension and arteriovenoous fistulas.

Özet

Multipl travma sonucunda böbrek yaralanmasi nedeniyle üroloji kliniginde takip ve tedavi edilen 26 hastanin kayitlari incelendi. Hastalar saptanan patolojik bulgulara göre minör, majör ve vasküler yaralanma olarak siniflandirildi. Hastalarin % 65.4 'ünde major, % 34.6 'sinda minör böbrek yaralanmasi mevcuttu. Böbrek yaralanmalarinin % 76.8 'i künt travma orjinli idi. Majör böbrek yaralanmalarinin % 88.8'inde multipl organ yaralanmasi birlikteligi vardi. Major böbrek yaralanmalarinda cerrahi tedavi, minör yaralanmalarda ise konservatif izlem uygulanmistir. Multipl travma orjinli böbrek yaralanmalari erken dönemde hemoraji ve ürinoma, geç dönemde ise hidronefroz, hipertansiyon ve arteriovenöz fistül gibi komplikasyonlar nedeniyle acil yaklasim ve tedavi gerektirmektedirler.

Keywords: Kanama,Böbrek,Böbrek hastalıkları,Yaralar ve yaralanmalar,Çoklu travma,Arteriyovenöz fistül,Hidronefroz