삼성서울병원 · 2015-10-28 · vascular: renal artery thrombosis. avulsion of the renal...
TRANSCRIPT
![Page 1: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/1.jpg)
![Page 2: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/2.jpg)
![Page 3: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/3.jpg)
![Page 4: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/4.jpg)
![Page 5: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/5.jpg)
![Page 6: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/6.jpg)
![Page 7: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/7.jpg)
![Page 8: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/8.jpg)
![Page 9: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/9.jpg)
![Page 10: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/10.jpg)
![Page 11: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/11.jpg)
![Page 12: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/12.jpg)
![Page 13: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/13.jpg)
![Page 14: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/14.jpg)
![Page 15: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/15.jpg)
![Page 16: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/16.jpg)
![Page 17: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/17.jpg)
![Page 18: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/18.jpg)
![Page 19: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/19.jpg)
![Page 20: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/20.jpg)
![Page 21: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/21.jpg)
![Page 22: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/22.jpg)
![Page 23: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/23.jpg)
![Page 24: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/24.jpg)
![Page 25: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/25.jpg)
Blunt trauma
G r o s s h e m a t u r i a o r m i c r o s c o p i c h e m a t u r i a with shock (syst BP<90mmHg) in adults
Flank or abdominal trauma in pediatric patients
![Page 26: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/26.jpg)
Deceleration injuries
Penetrating trauma
![Page 27: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/27.jpg)
Grade Type Description
I ContusionMicroscopic or gross hematuria, urologic
studies normal
HematomaSubcapsular, nonexpanding without
parencymal laceration
II HematomaNonexpanding perirenal hematoma
Lacerationwithout urinary extravasation
III Laceration without collection system rupture or urinary
extravasation
IV Laceration
Parenchymal laceration extending through
renal cortex, medulla, and collecting
system
VascularMain renal artery or vein injury with
contained hemorrhageV Laceration Completely shattered kidney
Vascularthe kidney
![Page 28: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/28.jpg)
![Page 29: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/29.jpg)
Absolute
Persistent renal bleeding
Expanding or pulsatile hematoma
Relative
Urinary extravasation
Nonviable tissue
Incomplete staging
![Page 30: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/30.jpg)
![Page 31: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/31.jpg)
![Page 32: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/32.jpg)
![Page 33: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/33.jpg)
![Page 34: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/34.jpg)
![Page 35: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/35.jpg)
![Page 36: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/36.jpg)
![Page 37: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/37.jpg)
![Page 38: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/38.jpg)
![Page 39: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/39.jpg)
![Page 40: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/40.jpg)
![Page 41: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/41.jpg)
![Page 42: 삼성서울병원 · 2015-10-28 · Vascular: Renal artery thrombosis. avulsion Of the renal pedicle Fig. l. The American Association for Surgical Trauma classification scheme for](https://reader034.vdocument.in/reader034/viewer/2022042410/5f285c182f1bae35d11042d1/html5/thumbnails/42.jpg)