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Poškodbe urotraktaPavlovič, MilanPoškodbe urotrakta so lahko izolirane ali v sklopu multiorganskih poškodb. Najpogosteje je poškodovana ledvica, ostala sečila pa redkeje. V 85 % primerov gre za lažje poškodbe, ki jih zdravimo ... konzervativno. Operativno zdravljenje je indicirano samo v primeru hujših kortikomedularnih laceracij s penetracijo v votli sistem ter poškodbah ledvičnega hilusa. Če je le mogoče, skušamo ohraniti ledvico ali vsaj polovico. Poškodbe sečevodov so najpogosteje povzročene iatrogeno. Indicirano je takojšnje operativno zdravljenje zaradi nevarnosti urinske fistule in flegmone. Poškodbe mehurja so lahko ekstra ali intraperitonealne. Zdravljenje je prav tako operativno. Poškodbe sečnice razdelimo na poškodbe srednje in zadnje sečnice. Temelj diagnoze je uretrografija. Zdravljenje je v začetni fazi vedno konzervativno (suprapubična drenaža, antibiotična zaščita). Bolnika ne smemo kateterizirati, dokler se ne prepričamo o neprekinjenosti sečnice. Operativno zdravljenje se vedno izvaja odloženo. Odprte poškodbe penisa, penilno frakturo ter luksacijo vedno zdravimo kirurško. Manjše hematome testisa zdravimo konzervativno, pri hujših pa je potrebna operativna revizija. Pri odprtih poškodbah stremimo k njegovi ohranitvi, včasih pa je potrebno hudo poškodovan testis tudi odstraniti.Source: Nujna stanja v urologiji v klinični praksi : zbornik predavanj (Str. 35-47)Type of material - conference contribution ; adult, seriousPublish date - 2012Language - slovenianCOBISS.SI-ID - 4232767
Author
Pavlovič, Milan
Topics
Urogenital System |
Injuries |
Therapy |
Urogenitalni sistem |
Poškodbe |
Zdravljenje
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Pavlovič, Milan | 15731 |
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