PMID: 1189227Feb 1, 1975Paper

[Kidney injuries in children].

Vestnik khirurgii imeni I. I. Grekova
S Ia DoletskiĭV V Shanidze

Abstract

Anatomo-topographic features of the kidneys in children mostly condition a great incidence of its damage, compared with adults. One hundred and fifty children with renal injuries were observed, 147 of them with closed injuries and 3 -- with open ones. In 10 cases a trauma of anomalously developed kidneys was noted. 124 children were treated conservatively, 26 children were operated upon, in 16 of them organ-preserving operations were performed, in 10 children -- nephrectomay. Late results were followed up in 51 children in terms from 6 months to 10 years (40 patients were treated conservatively and 11 -- were operated upon). As a result of the conducted control investigation all patients were subdivided into three groups: practically healthy children (25), children with roentgenoradiological changes on the part of the injured kidney but without signs of clinico-laboratory symptomatics (11) children with posttraumatic complications (15). An analysis of late results enabled to revise indications to surgery in an acute period of trauma in behalf of their extension.

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