Original – Traumatismo renal
Experiencia clínica en el manejo del traumatismo renal en el Hospital Universitario del Valle (Cali, Colombia)
]Clinical management of renal injuries at Hospital Universitario Del Valle (Cali, Colombia)
Herney Andrés García
, María Fernanda Urrea, Alejandra Serna, Luis Javier Aluma
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Servicio de Urología, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia
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Se recolectaron variables como: edad, sexo, estabilidad hemodinámica, tipo de traumatismo, sitio y mecanismo de la lesión, hallazgos al examen físico de ingreso, fallo renal, requerimiento de transfusión, método del diagnóstico, lesiones asociadas, manejo del traumatismo, tiempo de hospitalización y complicaciones. El análisis estadístico se realizó en SPSS v. 15.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se evaluó a 106 pacientes, el 78,3% varones, con un promedio de edad de 30 años. La mayoría ingresó por traumatismo cerrado (73,6%), principalmente por accidente en moto y caídas de altura. Se encontró traumatismo menor (grado 1-3) en el 77,3% de los casos, hematuria (90%) y dolor en el flanco (64%). La tomografía computarizada se utilizó en el 69,8% de los casos. Se realizó un manejo conservador (77,4%) principalmente en traumatismo menor (p < 0,0001); de éstos un 12% requirió cirugía posteriormente. El abdomen agudo fue la indicación quirúrgica más frecuente. Se realizó: nefrorrafia (32%), nefrectomía (38%) y manejo conservador (26%). La complicación más frecuente fue el resangrado (3,8%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El traumatismo renal menor es más frecuente y usualmente se presenta con lesiones asociadas. Se hace un manejo conservador en la mayoría de los pacientes; sin embargo, la tasa de fallo es del 12% y la frecuencia de complicaciones es del 10%.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Purpose</span><p class="elsevierStyleSimplePara elsevierViewall">The purpose of this study is to describe the clinical characteristics of patients diagnosed with renal trauma at Hospital Universitario Del Valle (HUV) in Cali, Colombia.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">This is a descriptive study of patients diagnosed with renal trauma (ICD 10) at HUV between 1 January 2003 and 31 December 2007. We gathered such variables as age, sex, haemodynamic stability, type of trauma, location and effect of injury, clinical examination findings at admission, presence of renal failure, need for transfusion, diagnostic method, accompanying injuries, required treatment, duration of hospital stay and complications. Statistical analysis was performed using SPSS v. 15.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">106 patients were evaluated, 78.3% of whom were male; mean age was 30.5 years. The majority were admitted for blunt trauma (73.6%) mainly due to motorcycle accidents and falls from heights. Minor trauma (Grades 1-3) was found in 77.3% of cases, haematuria in 90% and flank pain in 64%. A CT scan was used in 69.8% of all cases. Conservative treatment was employed in 77.4% of the cases, mainly for minor trauma (<span class="elsevierStyleItalic">P <</span>.0001); of these, 12% subsequently required surgery. Acute abdominal pain was the main surgical indication. Procedures were as follows: Nephropexy (32%) nephrectomy (38%) and conservative treatment (26%). The main complication was rebleeding (3.8%).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Minor trauma is the most frequent kind of kidney injury, and is usually present with associated injuries. Conservative treatment was administered to most patients, but the failure rate was 12% and the frequency of overall complications was 10%.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:34 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complication of renal trauma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H. Al-Qudah" 1 => "R. 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| 2013 Noviembre | 27 | 5 | 32 |
| 2013 Octubre | 46 | 7 | 53 |
| 2013 Septiembre | 38 | 9 | 47 |
| 2013 Agosto | 31 | 10 | 41 |
| 2013 Julio | 14 | 2 | 16 |
| 2009 Agosto | 1480 | 0 | 1480 |
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