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目的：判断创伤的严重性及其预后。方法：采用简明创伤定级标准（ Ａｂｂｒｅｖｉａｔｅｄ ｉｎｊｕｒｙｓｃａｌｅ， Ａ Ｉ Ｓ）及其派生出的创伤严重度评分（ Ｉｎｊｕｒｙ ｓｅｖｅｖｉｔｙ ｓｃｏｒｅ， Ｉ Ｓ Ｓ）对车祸致膀胱破裂４３ 例患者进行回顾性分析，以 Ｉ Ｓ Ｓ＞ １６ 分视为重伤。结果： Ｉ Ｓ Ｓ １６～１９ 分 ５ 例，２０～２５ 分 ２ 例，２６～３４ 分 １５例，超过３４ 分２ 例，余均＜ １６ 分。结论： Ｉ Ｓ Ｓ评分可有效解决交通事故所致的损伤分类问题，从而为对症处理提供依据。若发生膀胱颈“松动”，应行膀胱颈悬吊术，以免发生尿失禁。
Objective: To determine the severity of trauma and its prognosis. Methods: Forty-three patients with bladder rupture caused by accident were retrospectively analyzed with Abbreviated injuryscale (AI S) and its derived Injury sevevity score (I S S) S> 16 points as seriously injured. Results: Ss 16-19 in 5 cases, 20-25 cases in 2 cases, 26-34 points in 15 cases, more than 34 points in 2 cases, the remaining <16 points. Conclusion: The I S S score can effectively solve the classification of injuries caused by traffic accidents, and provide the basis for symptomatic treatment. In case of bladder neck “loose”, bladder neck suspension should be performed to avoid incontinence.