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J Korean Soc Emerg Med > Volume 7(4); 1996 > Article
Journal of The Korean Society of Emergency Medicine 1996;7(4): 575-579.
A CLINICAL SIGNIFICANCE OF HEMATURIA IN TRAUMA PATIENTS
Seung Yul Kim, Seok Cheon Hyun, Kab Dug Kim, Hwa Sik Song
Emergency Department, Dankook University Hospital, Dankuk University, Medical School, Chunan, Chungnam, Korea
  Published online: December 31, 1996.
ABSTRACT
To evaluate the relationship between urine RBC and clinical significance, in traumatic victims, we investigated 492 patients with RBC positive urinalysis sustained from trauma who visited our emergency department from september 1995, to October 1996. The result: The most common cause of traumatic urine RBC positive is crash accident(89.6%). The most common symptom and sign were abdominal pain and related symptoms(peritoneal irritation signs, nausea, & vomiting), with the frequency of 48.7%. Concerning with diagnostic tools of 170 cases, 154 cases were diagnosed by CT, and 7 cases were diagnosed by both CT and diagnostic peritoneal lavage, all this 7 cases were intestine perforations, and CT findings of 5/ 7 cases were normal(Reading has been done by emergency physicians).
Conclusion:
Our investigation showed that hematuria was meaningful as the diagnosis clue of intraabdominal organ injuries rather than renal injuries in the traumatic victims. So, hematuria may be a considerable sign when surgeon decides to do exploratory laparotomy or not, especially hemodynamically unstable patients who CT or other diagnostic tools were contraindicated due to the clinical status. Futhermore, in the case of patients with altered mentality, infants, and children unable to take physical examination and medical history, hematuria can be a very useful finding to detect intraabdominal organ injuries.
Key words: Hematuria, Trauma, Abdominal injuries
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