ارزیابی تشخیصی و درمانی بیماران با آسیب اورولوژیک مراجعه کننده به اورژانس بیمارستان حضرت رسول اکرم (ص) طی سال های 87-1386

  Introduction : The mortality rate of car crashes in Iran is very high worldwide. Most of these injured persons have urologic injuries. In our country, the prevalence of urologic injuries accompanied by multiple traumas is about 10-12%. The aim of this study was to evaluate the epidemiology of patients with urologic trauma and the diagnostic and therapeutic modalities.   Methods : We used a check list that consisted of the etiology of trauma, urologic trauma, co-morbid trauma, vital signs, diagnostic procedures, type of treatment and final outcome. The files of 76 patients with multiple injuries accompanied by urologic trauma that had referred to emergency department of Rasool Akram hospital between 2007 and 2008, were evaluated. We used t, Chi-square, One way ANOVA and their equivalent non parametric tests in our statistical analysis. SPSS V. 16.0 was also used.   Results : Mean age of patients was 33±2 years. The mean hospitalization period was 11.6±6 days. There were 35 kidney injuries (44.5%) with grades I-V. Twenty-five patients (26.3%) had bladder injuries, 14(18.4%) urethral injuries, 37(48.7%) co-morbid injuries, 13(17.1%) external genitalia injuries (scrotal/testis) and 4(5.2%) had ureteral injuries. Pelvic fracture (19 patients- 24.7%) was the most common co-morbid injury. Overall there were three deaths that were accompanied by non-urologic co-morbidities. There were 43 patient (55.6%) with complete improvement and 30 patients (39.5%) who needed delayed surgery.   Conclusion : Complications of urologic surgery were low and nobody died of these complications. There was no significant relationship between trauma etiology and the severity of injury. This difference might have been due to less number of patients, incomplete hospital files or death of patient with severe injury at the time of accident. Complications during treatment were fully controlled. Our facilities for diagnosis and treatment meet our needs.