[Renal XXXX in childhood. Second-level hospital experience].

@entity1 @entity8 @entity542 @entity3511 @entity811 @entity204 @entity130
The leading cause of @entity204 in @entity1 is accidents. Severe @entity542 and injuries to the heart or major vessels are mainly responsible for immediate @entity204 . This phenomenon is also reflected in the increasing number of pediatric admissions for renal @entity130 . MATERIAL AND METHODS: From 1990 to 2000, the charts of 132 @entity1 with @entity8 secondary to blunt and penetrating @entity130 in childhood are reviewed. RESULTS: A total of 88 were male @entity1 and 126 sustained blunt @entity130 (motor accidents, falls, etc.). Gross and microscopic @entity811 were the most important finding at the time of presentation, and correlated with severe @entity8 , and both were present in 122 cases. Intravenous pyelography and CT scan were the most useful diagnosis tools. Only 27 @entity1 were managed operatively, the majority because of associated @entity3511 . CONCLUSIONS: Intravenous pyelography remains the most cost-effective means of investigating @entity8 in a second-level hospital. @entity8 and most laceration should be managed conservatively. Only few a renal transactions should be managed operatively.
