586
2455581226014562118177
Ces36927936014570127174
Urol38917936014578115180208
2021;41247936014562121178233249
25(4):43987936014562122153209240262
244–25346857936014562119182245300360418
ORIGINÁLNÍ3862207016996181224324367468561635735777
PRÁCE4677207016983165262348424
KLÍČOVÁ625884014770132164236320392464
SLOVA1115884014763124208280352
Hematurie,6241048013169122211260292349380403455472
poranění11201048013156115147197255307365386
ledvin,1530104801312072132182204262279
poranění18331048013157116148198255308366387
zevního2244104801314092140199221281339
ge‑26061048013156109144
nitálu624119801315981114164186243
SUMMARY6251484014762143243345423493561
Dolejšová7741648013170128150202223261317364413
O,1210164801316983
Bendová13171648013150102159217274321370
B,1710164801315068
Kouba18011648013150105162220269
J,2093164801313450
Heindereich21661648013164116137193251303334384405452508
F,2698164801314652
Hora6241798013169128160210
M8581798013182
Urogenital984179801316596152213265323345378428450
system1458179801313887127162213302
trauma1784179801313062112169258307
in2115179801311977
children22161798013145103125147206237288346
and25861798013147105164
adolescents6241948013150109168191243284332383441473515
Material7742092013795155196256300330390421
and12182092013767134201
method:144220920137104164206273338406436
In1903209801313291
the20192098013143102157
period22012098013170126158181241303
from2529209801313771129221
December6242248013171125174225314374428459
201211072248013152104151196
to1327224801313288
May14392248013183132179
2021,16422248013151103153200211
a18772248013148
total1949224801313288120170192
of2165224801315785
7222742248013152104
children24022248013147104126148207239290348
aged6242398013150109162223
0-19871239801315894140185
were10802398013184136167219
treated1323239801313870122170202253313
in1660239801312885
our17692398013163121152
hospital19452398013164122162221244277327349
We23362398013195145
retro‑2505239801313789122154210245
spectively6242548013141101155205242264314366389437
evaluated10862548013162111161183241290323374435
the15452548013142101154
cause17242548013157107165205258
of2007254801316695
the21272548013142100154
injury,2305254801313189111169200253266
the25952548013143101155
extent6242698013153101138189246278
of926269801315987
the1037269801313492145
trauma,1206269801313466116173262310329
the1559269801313492145
need17282698013159112166226
for1978269801312986118
hospitalization21202698013158117157216238272321344365409460492514572630
and6242848013150107167
the815284801313088141
method9802848013186139172230288348
of1352284801315583
treatment1459284801313062113161193282335393425
In1927284801311977
renal2028284801312980138186208
trauma,2260284801313162112169258306325
the2609284801313088141
severity624299801314092140191221243275325
of973299801315381
the1077299801312986138
injury123829980131197596152182233
was14942998013174123161
assessed1679299801314584122174213252304363
according2065299801314593138193224281302358416
to2504299801313084
the2612299801312986138
AAST6243148013164130182234
classification882314801315577126165205227252279328377409432489548
(American1454314801313597187240271294342392450
Association19283148013170112151210259281329361383441500
for2452314801313491123
the2599314801314098151
Surgery6243298013151106137194246277328
of975329801315482
Trauma)1080329801314771120176264312337
and14413298013145102161
the1625329801313087139
presence1788329801315687138177230287334384
of2196329801315482
hematuria23013298013155107195243274331361384431
Iatrogenic624344801312372104136193253306364385434
injuries1082344801312380102159190213265306
were14123448013179131163214
not16503448013159117150
part18243448013161111142179
of2027344801315887
our21383448013158116148
cohort23103448013149105163222254291
Results:7743592013765122169232262302349376
6211753598013154103
boys13013598013166124170209
and15333598013155112170
1017263598013159105
girls1854359801316485115137175
were20523598013184135166216
injured2291359801312884105161191241301
In‑2632359801312885117
juries624374801312479110131182222
of869374801316491
external9833748013159106141191222279327348
genitalia13543748013166118174195227276297317364
occurred17413748013165113158215245276326386
the21503748013169126178
most23513748013196153192226
fre‑2600374801313466117150
quently6243898013160116168224255276323
in970389801312682
our10753898013161118148
group1246389801316292148205263
–15323898013158
4416133898013156111
cases17473898013151100139191230
(612000389801313180125
%)21483898013183107
The22923898013154113165
whole24803898013182139196218270
group624404801316090145202261
was9084048013182130169
treated1100404801313767118165196246305
conservatively14284048013152106164202254284336385416437485536557604
in2055404801312682
4121604048013157101
(572284404801313281130
%)24374048013184108
chil‑25684048013152109129150182
dren624419801316192145203
Kidney870419801316387147205259307
injury1201419801313189111168199252
was14774198013188138178
reported1679419801314193153213245283334395
in2098419801313189
2422114198013162111
cases23464198013157107147201241
(332611419801313789139
%)6244348013181105
According7664348013171117162217248305325382440
to1229434801314095
gender,13474348013166118175233285315327
1516974348013160103
boys18234348013167125171211
and20574348013156112171
922514348013159
girls2333434801316687117139177
were25334348013185136167217
treatedwith624449801313363112158188237294390410441497
kidney1143449801314163119174225270
injuries143544980131187393147176197247285
Hematuria17604498013163114200246276331361381427
was22094498013173121158
reported2389449801312776133190220255303361
in624464801312378
18724464801314893
children839464801314399119139196225274330
(751191464801312474121
%)1335464801317598
For14684648013146100130
renal1620464801312777132179199
injuries,184246480131177393147177197248286303
a21674648013144
conservative2234464801314397153190241271321369399420467516
approach6244798013150108168198254303350407
was10544798013181129168
chosen12454798013150107164203255312
in1580479801312481
1816844798013155100
cases1807479801315199138190229
(752059479801313182130
%)22124798013183107
Nephrec‑23564798013171123182239269320368394
tomy624494801313489178223
was8704948013186135174
performed10674948013168121151182238269358411470
four1560494801313692149179
times1762494801314162150202241
A20454948013171
total2140494801314095127176197
of2360494801316593
4024764948013160114
(562613494801313686137
%)6245098013182106
children7545098013157114135156215246297355
were11325098013187139170221
hospitalized13775098013166124164223245277327348369412464524
Injuries1942509801313188109166196218271310
were22765098013187139170221
most25205098013198157196230
often624524801315987125176234
caused8825248013156106163202256316
by12225248013168116
sports13615248013149108168199236278
and16625248013158116176
leisure1861524801313184105144201232283
activities21685248013158106142164213235268290343383
and25745248013158116176
traffic624539801313465113139167195243
accidents890539801314996142162220272329360400
Conclusion:7745542013765126190239269332379408471534561
In1357554801312177
our14575548013156113143
group,1623554801315888143200259274
the1920554801313288140
injuries208355480131217798154184205257296
of2402554801315683
exter‑2508554801315198133183213241
nal6245698013159108129
genitalia7775698013167119177198230279301322369
occurred11705698013166115161217248280331391
most15845698013198156195229
often,1836569801316694131182239256
which21165698013187145166213271
in2410569801313087
most25215698013197155195229
cases624584801314998136188227
could8745848013149104161182240
be11375848013161114
solved1274584801314198120168218278
without15755848013179100133190247304336
the1934584801313491143
need21005848013159111163222
for2345584801312985116
hospi‑24845848013159116155213234266
talization624599801313481102122164213243264319376
In1040599801311873
contrast,1136599801314498154184214262300333350
almost1509599801314465151208246279
all181059980131446585
children1918599801314399119139197226276332
with2272599801317495126182
kidney2477599801314163120176227273
injuries624614801312379100156186207259298
were9456148013175126156206
hospitalized11746148013154112150208230262311332352395445504
In1719614801311875
accordance1817614801314593138193224280328385432482
with2322614801317496128185
Euro‑25306148013146101131186220
pean6246298013161114161217
recommendations,864629801314090138193282370422478537584616636693751789806
a16936298013157
conservative17736298013156111168206258289341389420441489540
approach23366298013157115175205261310357414
was6246448013179127165
chosen8126448013144100156195246303
for1137644801312479110
renal1270644801312777133180201
injury149464480131187494149179229
in1746644801311874
order1842644801315484140192222
tomaximize2086644801312983191238284305392412455505
the2613644801312985137
preservation624659801316089138176227256306354384404459515
of1160659801315379
the1261659801312883134
functional1417659801312379134180214234289345391412
renal1851659801312675130177197
parenchyma20706598013154102131180235281336380467513
Ac‑26226598013158103128
cording6246748013149104135192212269327
to974674801313084
the1081674801313087139
literature,124367480131193971121151200231288318369384
the1650674801313087139
presence1812674801315687137176228285332382
of2217674801315482
hematuria23226748013154106194242273329360381428
and6246898013150107166
its813689801313062103
severity9396898013148101149200230252284335
did1297689801316788146
not14666898013166124155
correlate16446898013157112143174225247294326376
with20436898013187108141198
the2264689801314198151
degree24386898013167119178209259312
of624704801315986
renal733704801313384140188209
injury965704801312481101157187238
Children12387048013164120141162220250300357
were16187048013181132162212
most18537048013191149188221
often2097704801315987123173230
injured2350704801312480101157187237297
in2670704801312480
sports,624719801314199157188224265282
leisure92971980131227495133188218269
activities1221719801314896131152200222254275327366
and16107198013149105163
traffic1796719801313364113139167195242
accidents2061719801314997142163221272329360401
KEY6257484014770134206
WORDS85774840147106190261346409
Hematuria,6247648013169122211260292350381404452471
kidney1119764801314670129187240288
injury,1431764801312380102159190242255
external17107648013154101138189220279328350
genital20847648013160113171192226275298
injury2406764801312380102159190242
………29768840147120240360
ÚVOD29781308018197183286388
Hlavní2976164801316991140188247268
příčinou3268164801316496118166188245303361
dětské36531648013163116149191236287
morbidity39641648013194152184244267326348381432
a44201648013153
mortality44981648013193151183220270292313347398
jsou4920164801312766124182
v29761798013150
dnešní30501798013169127181221279301
době33761798013168126187242
traumata3642179801314274125182272321354404
Trauma4090179801315984135192282331
urogenitálního4446179801316798155216269328350384434456514536597656
traktu2976194801313466116161198256
u32561948013166
dětí33461948013168121154176
je3546194801313284
po36541948013169128
úrazech3806194801316798148193244294352
centrálního41821948013157108166197229279301359381441499
nervové‑47051948013167120152205262310362397
ho29762098013159117
systému3117209801314493134168219308366
druhým3507209801316294152210256346
nejčastějším38772098013162115137185234274309359381420441530
Naštěstí44512098013172121161195246286321343
je4818209801312679
toto4921209801313793125181
poranění29762248013161120152202260312370392
jen3392224801312477135
vzácně3551224801315096147196254307
příčinou3882224801316193115163184242300358
úmrtí42642248013159148179216239
U45452248013169
dětské46382248013161113146188233285
po‑49472248013161120155
pulace29762398013161119141189238288
v32882398013146
České33582398013159110150195247
republice3629239801312880139197257280301349400
zapříčiňují4053239801314191151182205252274331388410431
úrazy4508239801315586136181232
a47642398013146
otravy4834239801315587119169216268
3629762548013154106
%31062548013178
všech3208254801314687140189247
úmrtí34792548013155144175212234
u37382548013155
dětí38172548013156109142164
do40052548013157115
144144254801315197
let4265254801312073106
Asi44142548013162103125
jedna4563254801312073133191240
třetina4827254801313162113147169226275
dětských29762698013159111144185229280327384
traumat3384269801313061110167255303335
je3742269801312072
způsobena38382698013140100157195253312366423471
dopravními43332698013155113172204253300359380468489
neho‑48462698013154107164222256
dami29762848013160108197219
Při3237284801315181104
poranění33652848013156115147197254307365386
ledvin3775284801312072132181204261
se4060284801313890
většinou4174284801314698130172193250308366
jedná4564284801312072132190238
o48262848013155
tupá4905284801313088147197
traumata2976299801313465114170258306337386
Dlouhodobě3404299801316689146203260317376433492545
je3973299801311971
patrná40672998013156105137168226274
snaha4364299801313793141198246
o46332998013154
maximál‑47112998013185133180202289337359391
ně29763148013159111
konzervativní3111314801314298156200251282334383415437485544565
postup37003148013156115154188246304
při4028314801315788110
řešení4162314801312879119171228249
poranění44353148013157115147196253306363384
ledvin4843314801311971131180202259
s29763298013141
důrazem30413298013160117148198242294383
na34483298013159108
zachování3580329801314495144201260308358415437
funkčního4041329801312988146191238296317377436
parenchymu45013298013160110142193251300357404494551
MATERIÁL297837080181121215281357438477569641
A36523708018194
METODIKA377937080181122198277380482520603702
Traumata2976404801315074122178264312343391
jsou3390404801311956113169
na35824048013154101
našem37064048013154101139191278
pracovišti4007404801315586134181236283304342375396
pečlivě44264048013155108156176197245295
evidová‑4744404801314895117174231278326358
na29764198013158105
a31044198013145
pacienti31724198013155104151171222279309330
jsou3525419801311957113169
zařazováni3717419801314089119167210265312360416437
při4177419801315585107
ošetření4307419801315391143175205255311331
do46614198013155111
proces‑4795419801315686141189238277307
ních2976434801315878124180
událostí31794348013152110157178234272305326
nemocničního35284348013153104191247295351371417473494552608
informačního415943480131177399155185272320366422442501557
systému4739434801313583121155204290345
Od29764498013174136
prosince31364498013169102159200221280329380
201235414498013162114163208
až37734498013159104
do39014498013169127
května40534498013155108160194253302
202143804498013162114164212
bylo46174498013169117140199
v48404498013159
naší49234498013168117157179
nemocnici29764648013159112201259309367388437458
ošetřeno3459464801315494147180212263321379
celkem3862464801314697119164216305
7241914648013150102
dětí43174648013156109142164
a45054648013146
adolescentů45754648013147106164187240280329380438469527
ve29764798013150102
věku3102479801314799144202
0–1933284798013152110156201
let,3553479801312174107126
z37034798013142
toho3769479801313288147205
103998479801315299
(144121479801312774121
%)42664798013179104
dívek4394479801315880129181226
a46444798013148
6247164798013152102
(864842479801312778132
%)49984798013179104
chlapců29764948013151111134185247299359
Retrospektivně33784948013166122157190249291353409457495519570632687
jsme4091494801313374166221
hodnotili43384948013169130193253314348371395418
příčinu47814948013171105129179202262321
poranění,29765098013161120152202260312370392410
rozsah3410509801313794136179229287
traumatu,3721509801313970120177266315347405423
nutnost41685098013164121154213271311345
hospitalizace45385098013163122162221243277326348370414465513564
a29765248013150
způsob30505248013149110168207265326
ošetření34005248013163103156189221272330351
U37945248013174
traumat3892524801313971121178267316348
ledvin4264524801312881142191214271
byla45595248013166113137185
hodno‑47685248013165123183241299334
cena29765398013149100158207
tíže320753980131325498149
poranění33805398013159119151201258311369391
dle3795539801315880133
AAST39525398013163129180232
klasifikace4209539801314469117157178204231276327375426
(American4659539801312891180233264287335385443
Association29765548013163104142198246267314345366422478
for3477554801312480110
the3610554801312986137
Surgery37705548013146101131187238268318
of4111554801315481
Trauma)4215554801314669117173259307331
a45695548013145
přítomnost4637554801315586107139193281337393432465
hematurie29765698013159112201250282340371394446
Věková34635698013154105150207255305
skupina3792569801313984142201224281330
0–1441465698013152110156202
let4372569801312174107
představovala4503569801315990142202241276325373430478528550599
6329765848013154105
%31055848013186
souboru,32155848013145104161221280312370388
ošetřených36285848013163103156189220271329375423481
ve41335848013154106
věku42635848013154106152210
15–1944975848013158103158204249
let4770584801312881114
bylo49085848013166113136194
2729765998013154103
(373103599801312576124
%)32515998013177102
Průměrný3392599801315282140228281312371417
věk3833599801314697143
dětí39995998013157109142164
byl41875998013157104127
12,34338599801315094112165
roku4527599801312985131189
(rozmezí4740599801312554110152242295339362
2–19)29766148013154105152197223
Poranění32386148013155111143193250303361383
ledvin3645614801312376136185208266
jsme3935614801312362151204
zaznamenali4163614801314495140199247336389447496518540
u47276148013158
2448096148013154102
dětí49356148013159112145167
(332976629801312979128
%)31276298013177101
V32666298013152
933416298013150
případech3414629801315687109168217276328376433
se3871629801313689
jednalo3983629801312071131188236257314
o43216298013154
poranění43996298013156114145194251303360381
u48046298013154
dívek4881629801315677125176221
(382976644801312980132
%),31326448013183108124
v32806448013152
1533566448013156100
případech3480644801316395117177227286339389446
o39506448013161
poranění40356448013163122154204262314372394
chlapců44536448013151109131179239288346
(624823644801313181131
%)49796448013183108
Průměrný2976659801315484141228279310367412
věk3411659801314595140
dětí35746598013155106138159
s37576598013136
poraněním38166598013156114145193250302358379466
ledvin4305659801311970129178200256
byl45846598013156102124
14,54731659801314994111163
roku4917659801312883128185
(rozmezí2976674801312958114156246299344367
5–19)33676748013153108155200226
VÝSLEDKY29787158018184172246317392492576664
Nejčastějším29767498013172127151202254296333386410451475567
poraněním35697498013172134168220281336397420513
v41087498013160
souboru41947498013151112173235297332393
bylo46137498013171121146207
pora‑48467498013171133168220256
nění29767648013159114173196
zevního31977648013154107157217240302362
genitálu,35847648013169124183206241292315374393
celkem40037648013158110134181234324
ve43537648013159112
4444917648013163121
případech46377648013170103127188239300355406465