삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal...

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Transcript of 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal...

Page 1: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for
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Blunt trauma

G r o s s h e m a t u r i a o r m i c r o s c o p i c h e m a t u r i a with shock (syst BP<90mmHg) in adults

Flank or abdominal trauma in pediatric patients

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Deceleration injuries

Penetrating trauma

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Grade Type Description

I ContusionMicroscopic or gross hematuria, urologic

studies normal

HematomaSubcapsular, nonexpanding without

parencymal laceration

II HematomaNonexpanding perirenal hematoma

Lacerationwithout urinary extravasation

III Laceration without collection system rupture or urinary

extravasation

IV Laceration

Parenchymal laceration extending through

renal cortex, medulla, and collecting

system

VascularMain renal artery or vein injury with

contained hemorrhageV Laceration Completely shattered kidney

Vascularthe kidney

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Absolute

Persistent renal bleeding

Expanding or pulsatile hematoma

Relative

Urinary extravasation

Nonviable tissue

Incomplete staging

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