预期的V级体损伤的管理
Mohamed Mohamed Elawdy1, Manar Salim Al-Farsi2, Lubna Rashid Al Maamari2
1Urology, Sohar Hospital, Sohar, Oman mmelawdy@gmail.com.
BMJ case reports
|July 31, 2025
概括
这一案例研究表明,预期管理可以成为严重 (V级) 损伤的选择性患者的可行选择. 密切观察和保守的治疗可以帮助避免手术干预,如腎切除术.
科学领域:
- 创伤外科 手术 创伤外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 高能量的突击腹部创伤可能导致严重的损伤.
- 五级损伤,以破碎的为特征,通常需要积极的干预.
研究的目的:
- 为了评估预期管理在血液动力学稳定的病人V级损伤的疗效.
- 为了确定保守的治疗是否可以导致成功的恢复,避免切除术.
主要方法:
- 一名患有V级损伤和侧侧血瘤的年轻男性患者在非手术情况下得到治疗.
- 密切的血液动力学监测,床上休息和连续成像 (CT泌尿图) 被使用.
- 血管栓塞因在初始CT上没有活跃出血而被扣留.
主要成果:
- 在整个观察期内,患者血液动力学保持稳定,血红蛋白水平为8.6gm/dL.
- 随访评估显示血压,功能 (RF) 和血红蛋白水平的正常化.
- 重复CT泌尿图显示受伤脏几乎完全恢复.
结论:
- 预期管理是选择血液动力学稳定的V级关节损伤患者的潜在可行的策略.
- 在这些精心挑选的病例中,保守的治疗可能会避免切除术的需要.
- 这种方法强调了基于患者稳定性和损伤特征的个性化治疗计划的重要性.
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