Title: Necessity of radiological examination in pediatric close renal injury
Abstract: Objective To study the necessity of radiologic evaluation in pediatric closed renal injury so as to find ways to reduce medical costs. Methods We reviewed the medical records of 69 children (age: 6~14 years) who were hospitalized with blunt renal trauma between January 2000 and June 2003. Results Of the 69 pediatric patients with closed renal injury, 11 cases had gross hematuria and 58 cases had microscopic hematuria. All patients with gross hematuria were evaluated with renal radiologic examination which demonstrated 9 cases of Ⅱ~Ⅳ grade renal injuries, and 2 cases of renal contusions. In the 9 cases of Ⅱ~Ⅳ grade renal injuries, there were 7 cases with accompanied other injuries. Of the 58 cases with microscopic hematuria, 21 cases did not have radiologic examination. In the remaining 37 cases undergoing radiologic evaluation, 32 cases were normal or just showed renal contusions. 5 cases had significant renal injuries (Ⅱ~Ⅳ grade) and with accompanied other injuries. Conclusions In pediatric closed renal trauma, the degree of hematuria does not correlate with the severity of the injury. Patients with microscopic hematuria, if they have significant renal injuries (Ⅱ~Ⅳ grade), they have other accompanied trauma. If they do not have other trauma, radiologic evaluation is not necessary. In patients with gross or microscopic hematuria and associated injuries, radiologic evaluation should be performed.
Publication Year: 2004
Publication Date: 2004-01-01
Language: en
Type: article
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