Flancbaum L, Morgan A S, Fleisher M, Cox E F
Department of Surgery, Maryland Institute for Emergency Medical Services Systems, Baltimore.
Urology. 1988 Mar;31(3):220-2. doi: 10.1016/0090-4295(88)90144-6.
Twenty-nine patients with bladder injuries requiring operative treatment as a result of blunt trauma are presented. Motor vehicle accidents accounted for 86 per cent of the injuries. Hypotension and gross hematuria were the most prevalent clinical features, 68 per cent and 97 per cent, respectively. All patients had multiple associated injuries requiring operative treatment, average 2.9 per patient. Pelvic fractures occurred in 93 per cent and intra-abdominal injuries in 48 per cent of patients. The majority of ruptures (72%) were intraperitoneal. Mortality, related to associated injuries, was high (34%), attesting to the magnitude of injury sustained by the victim.
本文报告了29例因钝性创伤而需手术治疗的膀胱损伤患者。机动车事故导致的损伤占86%。低血压和肉眼血尿是最常见的临床特征，分别占68%和97%。所有患者均有多处需要手术治疗的合并伤，平均每位患者2.9处。93%的患者发生骨盆骨折，48%的患者有腹腔内损伤。大多数破裂（72%）为腹膜内破裂。与合并伤相关的死亡率很高（34%），证明受害者所受损伤的严重程度。
