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第四級腎臟外傷個案之可能治療

Management of AAST Grade IV Renal Injury

摘要


美國創傷外科協會(AAST)將腎臟外傷區分為五個等級,臨床上,第一至第三級腎臟外傷一般僅需保守治療並觀察即可,第五級腎臟外傷則需立即手術,唯第四級腎臟外傷之治療,到底是積極治療比較好呢,還是保守治療即可,目前仍未有定論。本篇文章嘗試從實證醫學的觀點,搜尋現有的文獻,來探討第四級腎臟外傷之治療。

關鍵字

實證醫學 腎臟外傷

並列摘要


Renal trauma grading is often classified by the criteria of American Association for the Surgery of Trauma (AAST) renal injury scale. Clinically grade I to grade III renal injury can be managed conservatively, and grade V renal injury needs immediate operation. However, the management of grade IV renal injury remains controversial. In this article we attempt to answer this question through the process of evidence-based medicine and to investigate the management of grade IV renal injury.

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