报告49例创伤性膀胱破裂，其中腹膜内型21例．腹膜外型23例．混合型5例。全组手术43例．有4例保守治疗．合并严重复合伤、死亡4例。认为逆行膀胱造影是诊断膀胱破裂最可靠的检查方法，对创伤性膀胱破裂应积极行膀胱修补术．保守治疗应掌握其适应证。 Report 49 cases of traumatic bladder rupture, including 21 cases of intraperitoneal. Peritoneal appearance in 23 cases. Mixed 5 cases. The whole group of 43 cases of surgery. There are 4 cases of conservative treatment. Combined severe combined injury, death in 4 cases. That retrograde cystography is the most reliable method of diagnosis of bladder rupture examination, active bladder repair should be performed on traumatic bladder rupture. Conservative treatment should have their indications.