pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMUpmj-1474Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESКлиника, диагностика и лечение закрытой сочетанной травмы почекSigns, diagnostics and treatment of the blunt combined renal traumaСмолярА. Н.SmolyarA. N.НИИ скорой помощи имени Н.В. Склифосовского (г. Москва)РоссияScientific Research Institute of the Emergency Care named by N. V. Sklifosovskiy (Moscow)Russian Federation200828032008015253Copyright © Смоляр А.Н., 20082008Смоляр А.Н.Smolyar A.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/1474

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Experience of treatment of 26 patients with complex abdominal trauma and renal injury is analyzed. The author judges, that indications to paranephral hematoma revision at laparotomy is its distribution to pelvic level or prolapsing to the abdomen in the absence of other reasons of its formation, and also the pathologically changed kidney trauma. Before the paranephral hematoma revision the revision of renal arteries from their aortic location is shown. The excess of number of indications to paranephral hematoma revision results in increase of unreasonable nephrectomies.

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The authors declare that there are no conflicts of interest present.