Lunetta P, Penttilä A, Sajantila A
Department of Forensic Medicine, PO Box 40 (Kytösuontie), University of Helsinki, 00300 Finland.
Int J Legal Med. 2002 Oct;116(5):282-5. doi: 10.1007/s00414-002-0289-8. Epub 2002 May 25.
Traumatic bladder ruptures are generally secondary to severe trauma and associated with pelvic fractures. Conversely, isolated bladder ruptures following minor blunt trauma are rare and seldom fatal. We describe six fatal cases (five males, one female, 39-82 years old) of isolated bladder rupture subsequent to minor blunt trauma. Three cases were out-of-hospital deaths and among the three hospital cases, only one was diagnosed as bladder rupture ante-mortem. All victims had a history of chronic alcohol abuse. The differentiation between spontaneous and traumatic (accidental or purposely inflicted) bladder ruptures is crucial but may be difficult to assess, especially in cases involving alcohol abuse and occurring in a domestic setting.
创伤性膀胱破裂通常继发于严重创伤，并与骨盆骨折相关。相反，轻微钝性创伤后孤立性膀胱破裂很少见，且很少致命。我们描述了6例轻微钝性创伤后孤立性膀胱破裂的致命病例（5例男性，1例女性，年龄39 - 82岁）。3例为院外死亡，在3例住院病例中，只有1例在生前被诊断为膀胱破裂。所有受害者都有慢性酒精滥用史。区分自发性与创伤性（意外或故意造成）膀胱破裂至关重要，但可能难以评估，尤其是在涉及酒精滥用且发生在家庭环境中的病例。
