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布莱根妇女医院急诊放射学与外科的关联:腹膜内膀胱破裂

BWH emergency radiology-surgical correlation: intraperitoneal urinary bladder rupture.

作者信息

Landman Wendy, Khurana Bharti, Briggs Alexandra, Fairweather Mark, Cooper Zara, Riviello Robert, Sodickson Aaron D

机构信息

Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Emerg Radiol. 2015 Dec;22(6):713-6. doi: 10.1007/s10140-015-1323-8. Epub 2015 May 22.

DOI:10.1007/s10140-015-1323-8
PMID:25998022
Abstract

We describe the radiological and intraoperative correlation of two cases of intraperitoneal bladder rupture: a 23-year-old man involved in a high-speed motor vehicle collision and a 49-year-old man with hematuria and abdominal pain after a night of heavy alcohol ingestion. Both patients underwent urgent exploratory laparotomies and repair of their bladder injuries. The purpose of this article is to emphasize the importance of understanding the different etiologies of bladder rupture and recognizing the imaging findings on computed tomography (CT) and CT cystography to help guide the surgeons in the patient's management.

摘要

我们描述了两例腹膜内膀胱破裂病例的影像学表现与术中情况的相关性

一例是一名23岁男性,遭遇高速机动车碰撞;另一例是一名49岁男性,在一夜大量饮酒后出现血尿和腹痛。两名患者均接受了紧急剖腹探查术并修复膀胱损伤。本文的目的是强调了解膀胱破裂不同病因以及认识计算机断层扫描(CT)和CT膀胱造影的影像学表现对于指导外科医生进行患者管理的重要性。

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本文引用的文献

1
Urotrauma: AUA guideline.尿路创伤:AUA 指南。
J Urol. 2014 Aug;192(2):327-35. doi: 10.1016/j.juro.2014.05.004. Epub 2014 May 20.
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Resident and fellow education feature. Bladder injury: types, mechanisms, and diagnostic imaging.住院医师和专科住院医师教育专题。膀胱损伤:类型、机制及诊断影像学
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Bedside ultrasound diagnosis of atraumatic bladder rupture in an alcohol-intoxicated patient: a case report.床边超声诊断酒精中毒患者非创伤性膀胱破裂:一例报告
钝性腹腔内膀胱破裂的处理:病例报告及文献综述
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Postoperative Intraperitoneal Bladder Rupture Detected by Renal Scintigraphy: The Importance of Postvoid Imaging.肾闪烁扫描术检测到的术后腹膜内膀胱破裂:排尿后成像的重要性
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Emerg Radiol. 2011 Aug;18(4):321-7. doi: 10.1007/s10140-011-0947-6. Epub 2011 Apr 27.
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Spontaneous bladder rupture in association with alcoholic binge: a case report and review of the literature.与酗酒相关的自发性膀胱破裂:一例病例报告及文献综述
J Emerg Med. 2009 Nov;37(4):386-9. doi: 10.1016/j.jemermed.2007.03.049. Epub 2007 Aug 29.
6
Diagnosis of blunt bladder injury: A prospective comparative study of computed tomography cystography and conventional retrograde cystography.钝性膀胱损伤的诊断:计算机断层扫描膀胱造影与传统逆行膀胱造影的前瞻性对比研究。
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7
Consensus statement on bladder injuries.关于膀胱损伤的共识声明。
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