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目的 总结创伤性膀胱破裂的诊治经验。方法 回顾分析 1978～ 2 0 0 0年收治的 47例创伤性膀胱破裂患者的诊疗方法及其疗效。 45例行膀胱灌注试验确诊 ,2例因尿道断裂行尿道会师术时发现。 47例均行膀胱修补术 ,其中 3 5例行膀胱造瘘术 ,12例仅留导尿管引流。结果 47例中 2例 (4 .3 % )因严重合并伤及休克死亡 ,余 45例均治愈 ,术后排尿正常。结论 膀胱灌注试验结合腹腔穿刺检查是诊断膀胱破裂简单而可靠的方法 ,膀胱修补术是治疗膀胱破裂的重要措施
Objective To summarize the diagnosis and treatment of traumatic bladder rupture. Methods Retrospective analysis of 47 cases of traumatic bladder rupture treated in 1978 ~ 2000 diagnosis and treatment methods and efficacy. 45 cases were confirmed by bladder perfusion test, and 2 cases were diagnosed by urethra division during urethral rupture. 47 cases underwent bladder repair, of which 35 cases of bladder ostomy, leaving only catheter drainage in 12 cases. Results Of the 47 cases, 2 cases (4.3%) died of severe combined injuries and shocks, and the remaining 45 cases were cured. The postoperative urination was normal. Conclusions Bladder perfusion test combined with paracentesis is a simple and reliable method to diagnose bladder rupture. Bladder repair is an important measure to treat bladder rupture