THE ANALYSIS OF LONG TIME RESULTS OF THE TREATMENT OF PATIENTS WITH BLUNT KIDNEY DAMAGE

Abstract

THE AIM of the investigation was the efficiency increase in of the treatment of patients with blunt kidney damage on the basis of long term results conducted during the hospitalization therapy depending on the character of damage and treatment method. PATIENTS AND METHODS. 259 patients with blunt kidney trauma, who were examined at the moment of urgent hospitalization immediately after the trauma, at the early and late posttraumatic period, were under observation. The conservative treatment took place in the primary hospitalization in 119 (45,9%) cases, and operative – in 140 (54,1%). The examination was complex and included clinical, laboratory, ultrasound and X-rays methods. RESULTS. In the late posttraumatic period a chronic pyelonephritis was diagnosed in 59,8% of the patients, in 8,9% was discovered a calculi in the damaged kidney, in 9,6% post traumatic renal cysts, in 7,7% sclerotizing paranephritis, in 3,9% hydro nephritis, 17,0% nephrogenic hypertension, in 47,5% was noted the decrease in the function of the damaged kidney. CONCLUSION. The indications for the organ saving treatment of the patients with blunt kidney damage should be widened, which leads to decrease in the complications in the late posttraumatic period.