UrinarySystemInjuries?泌尿系统损伤UrinarySystemRenalInjuryEtiologyPathologyPresentationsDiagnosisTreatmentRenalInjury:ident50%Blunt80%:-直接暴力:车祸、外力撞击,最常见-间接暴力:减速、坠跌、爆震波冲击-肌肉收缩:负重、剧烈运动Open16%:战伤、刀伤Iatrogenic:手术、肾穿刺、体外碎石肾错构瘤外伤后破裂出血RenalInjury:PathologyRenalcontusionMinorrenalinjuriesMajorrenalinjuriesRenalpedicleinjuriesRenalInjury:SeverityScale?(AmericanAssociationfortheSurgeryofTrauma)SubcapsularHematomaSuperficialLacerationParenchymalLaceration