Genitourinarytracttrauma（泌尿生殖道创伤）.ppt

* Injuries to the ureter Clinical findings Hematuria Seeping of Urine Fistula of urine obstruction . * Treatment Anastomoses. Double- J stent. F6 After 3-4 weeks removed . * Injuries to the bladder  Etiology Trauma. pelvic fractures. Iatrogenic. gynecologic hernia repairs transurethral operations. * Pathology Intraperitoneal rupture Extraperitoneal rupture * Intraperitoneal rupture. filled to near capacity a direct blow to the lower abdomen the reflection of the pelvic peritoneum covers the dome of the bladder Urine flow into the abdominal cavity urine is sterile or infected * * Extraperitoneal rupture pelvic fracture. * * Injuries to the bladderClinical findings Shock Belly pain Hematuria and difficulty of passing urine Fistula of urine * Injuries to the bladder  Diagnosis Be filled with 300 mL of contrast medium. * Injuries to the bladder  treatment Emergency measures Conservative measures Surgical measures * Injuries to the anterior urethraEtiology and pathology Straddle injuries Iatrogenic * Injuries to the anterior urethra Clinic findings Diagnosis. Treatment anastomosis enlargement * Injuries to the posterior urethra Etiology and pathogenesis Pelvic fracture the membranousurethra can be transected * Injuries to the posterior urethra clinic findings diagnosis * treatment emergency measures shock hemorrhage surgical measures immediate management immediate urethra realignment suprapubic cystostomy urethral reconstructure treatment of complication * See you again * * Let’s look at the chapter fifty-two, genitourinary tract trauma .what is the value of this lesson ,the answer is at the introduction . * There are two kinds of force which can cause kidney trauma, they are p and b. before reaching them , let’ firstly Look at the protect mechanism. * This