What Is Renal Trauma?
The most common cause of kidney trauma (Trauma.renal.review) is blunt trauma, such as traffic accidents, falls, sports injuries. Bullets and stab wounds can cause penetrating kidney trauma.
Kidney trauma
Right!- Chinese name
- Kidney trauma
- Foreign name
- Trauma.renal.review
- Common cause
- Blunt injury
- Clinical manifestation
- Minor trauma only causes microhematuria
- The most common cause of kidney trauma (Trauma.renal.review) is blunt trauma, such as traffic accidents, falls, sports injuries. Bullets and stab wounds can cause penetrating kidney trauma.
- The clinical manifestations of renal trauma are various. Minor trauma can only cause hematuria under the microscope; severe trauma can cause gross hematuria; if the renal trauma is severe (so-called kidney rupture), severe bleeding can occur, and urine leaks into the surrounding kidney tissue; Arterial and venous tearing of the renal pedicle can cause major bleeding, shock, and death. Extracorporeal shock wave lithotripsy (commonly used for fragmented kidney stones) often results in transient, less severe hematuria, which can heal without treatment.
- X-rays of the kidneys and urinary tract, such as intravenous urography and computed tomography, can accurately locate and determine the extent of the injury. Occasionally more extensive imaging studies are required.
- Treatment begins with steps to stop bleeding and prevent shock. Intravenous fluids maintain normal blood pressure and urine output. If necessary, an appropriate X-ray examination may be performed to determine the characteristics of the injury. Minor kidney injuries, such as those caused by extracorporeal shock wave lithotripsy, often require only careful control of fluid balance and bed rest. Severe trauma causes uncontrolled bleeding and a large amount of urine infiltrates into the renal kidney tissue, which requires surgical repair.
- Because normal kidney tissues need blood to provide nutrients to survive, if the kidneys have insufficient blood supply, kidney tissues will die and be replaced by scar tissue. This change can cause high blood pressure weeks or months after kidney injury. In general, with prompt diagnosis and treatment, the prognosis for most kidney trauma is good.