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Abstract
to study the profile of victims of kidney trauma who underwent surgical and medical treatment in a hospital in Curitiba. we conducted a retrospective, analytical, quantitative, cross-sectional study of patients with renal trauma admitted to the Evangelical Hospital of Curitiba between February 2011 and January 2014. participated in the study 38 patients, four women and 34, men with a mean age of 28.4 years. Most injuries (60.5%) was due to closed mechanisms, especially motorcycle accidents. Injuries were treated conservatively in most cases. Patients who required surgical treatment had severe kidney damage or some other associated lesion, usually intra-abdominal. Hospital stay was lower in the conservative treatment group (10.8 days) compared with the surgical treatment one (18.8 days); mortality was also lower in the conservative treatment group (8.3%) compared with the surgical (14.3%). There were no deaths associated to kidney damage itself. patients with renal trauma in this study were young men, victims of motorcycle accidents, taking place during the night and early morning. Most injuries were treated conservatively. estudar o perfil das vítimas de traumas renais submetidos a tratamento cirúrgico e clínico em um hospital de Curitiba. estudo transversal quantitativo analítico retrospectivo de pacientes com trauma renal admitidos no Hospital Universitário Evangélico de Curitiba entre fevereiro de 2011 e janeiro de 2014. fizeram parte do estudo 38 pacientes, sendo quatro mulheres e 34 homens, com média de idade de 28,4 anos. A maior parte dos traumas (60,5%) foi decorrente de mecanismo fechado, em especial acidentes automobilísticos envolvendo motos, tratados de maneira conservadora na maior parte dos casos. Os pacientes que necessitaram de tratamento cirúrgico possuíam lesões renais graves ou alguma outra lesão associada, geralmente intra-abdominal. O tempo de internamento foi menor no grupo de tratamento conservador (10,8 dias) em relação ao grupo de tratamento cirúrgico (18,8 dias), assim como a mortalidade também foi menor no grupo de tratamento conservador (8,3%) comparada ao cirúrgico (14,3%). Nenhuma morte foi relacionada à lesão renal em si. os pacientes com traumatismo renal neste estudo foram homens jovens, vítimas de acidentes automobilísticos com motos, ocorrendo durante a noite e madrugada. A maioria das lesões foi tratada de modo conservador.
Highlights
The abdominal trauma has shown increased their rates in recent years and represents a diagnostic challenge in some situations where the physical examination is poor and obscured by neurological disorders
The kidneys are located in the posterior region of the abdomen, in the retroperitoneum, between T12 and L3, being anterolaterally protected by a muscle-aponeurotic wall and the abdominal viscera, and posteriorly, by the last ribs and the para-vertebral muscular. This anatomical arrangement provides protection from external injuries, making renal trauma an uncommon condition in relation to other organs, among the genitourinary viscera they are the most affected. Due to their anatomical arrangement, it is necessary that a large amount of energy cross through adjacent structures
The abdominal trauma, still brings a diagnostic challenge, since there are no reliable signs of intra-abdominal injury, and the anamnesis may be impaired by conditions associated with trauma[9]
Summary
The abdominal trauma has shown increased their rates in recent years and represents a diagnostic challenge in some situations where the physical examination is poor and obscured by neurological disorders. The kidneys are located in the posterior region of the abdomen, in the retroperitoneum, between T12 and L3, being anterolaterally protected by a muscle-aponeurotic wall and the abdominal viscera, and posteriorly, by the last ribs and the para-vertebral muscular. This anatomical arrangement provides protection from external injuries, making renal trauma an uncommon condition in relation to other organs, among the genitourinary viscera they are the most affected. Renal trauma accounts for approximately 10% of visceral lesions in abdominal trauma
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