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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose : This study was performed to examine if CT classification of renal blunt injury could aid inexpectation of hemodynamic stability and clinical decision of whether to intervene surgically. Materials andMethods : Over a 80-month period between July 1987 and March 1994, 41 patients were admitted to our hospital withthe diagnosis of renal blunt injury. the renal blunt injuries were classified on Federle's three-point scale CTclassification methods: grade I, contusion, intrarenal hematoma, segmental infarction, and small subcapsularhematoma; grade II, complete or incomplete laceration, large subcapsular hematoma, and renal fracture; grade III,shattered kidney and renal pedicle injury. Hemodynamic stability, treatment method and clinical outcome of thepatients with different CT grade were analyzed retrospectively. Results : All 34 patients with grade I or II CTfindings were hemodynamically stable and were successfully managed with conservative method. Among 7 patients withgrade III CT findings, 6 patients were hemodynamically unstable. Out of the 6, One patient with grade IIIb orrenal pedicle injury was expired before surgical intervention due to ischemic shock. Four patients were intervenedsurgically with one failed to thrive. The remaining one patient refused to be intervened surgically, and wasdischarged against medical advice. Only one out of 7 patients was hemodynamically stable and was managedconservatively. Conclusion : The patients with grade I or II CT findings are prone to be hemodynamically stableand to be managed with conservative method. But the patients with grade III CT findings are more likely to behemodynamically unstable. Therefore patients with grade III CT findings should be closely monitored and beprepared for the possibility of immediate surgical intervention
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