自发性膀胱破裂临床上比较罕见,据国内统计至今仅见39例报告。我院自79年以来曾收治4例,现报告如下。病例报告例1 男,72岁,因急性弥漫性腹膜炎急诊入院。入院前4天患者开始轻微腹痛,不发热,两天后腹痛逐渐加剧。体检:一般情况较差,腹部膨隆,腹式呼吸消失,肌卫明显,满腹均有压痛及反跳痛,以两下腹部尤 Spontaneous bladder rupture clinically rare, according to the domestic statistics so far only 39 cases reported. Our hospital since 1979 has been treated in 4 cases, are as follows. Case report 1 male, 72 years old, due to acute diffuse peritonitis emergency admission. Four days before admission, the patient started to have mild abdominal pain and no fever. The abdominal pain gradually increased two days later. Physical examination: the general situation is poor, bulging belly, abdominal breathing disappeared, muscle Wei obvious, full of tenderness and rebound tenderness to two abdomen