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神经源性膀胱自发性腹膜内破裂；腹水尿素和电解质在诊断中的重要性。

Spontaneous intraperitoneal rupture of a neurogenic bladder; the importance of ascitic fluid urea and electrolytes in diagnosis.

作者信息

Ramcharan K, Poon-King T M, Indar R

机构信息

Department of Medicine, General Hospital, San Fernando, Trinidad, West Indies.

出版信息

Postgrad Med J. 1987 Nov;63(745):999-1000. doi: 10.1136/pgmj.63.745.999.

DOI:10.1136/pgmj.63.745.999
PMID:3451228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2428724/
Abstract

Spontaneous intraperitoneal bladder rupture in a 38 year old man with a spastic paraparesis since infancy is described. Delayed diagnosis resulted in peritoneal autodialysis so providing an opportunity for documentation of biochemical abnormalities. Surgery resulted in a successful outcome. The literature on this rare condition is outlined and difficulties in diagnosis are discussed. The diagnostic value of urea and electrolyte levels in ascitic fluid is emphasized.

摘要

本文描述了一名38岁男性自婴儿期起患有痉挛性截瘫，发生自发性腹膜内膀胱破裂的病例。诊断延误导致腹膜自透析，从而有机会记录生化异常情况。手术取得了成功结果。概述了关于这种罕见病症的文献，并讨论了诊断中的困难。强调了腹水尿素和电解质水平的诊断价值。

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Spontaneous intraperitoneal rupture of a neurogenic bladder; the importance of ascitic fluid urea and electrolytes in diagnosis.神经源性膀胱自发性腹膜内破裂；腹水尿素和电解质在诊断中的重要性。
Postgrad Med J. 1987 Nov;63(745):999-1000. doi: 10.1136/pgmj.63.745.999.
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[Spontaneous bladder perforation--a rare complication of neurogenic bladder dysfunction].[自发性膀胱穿孔——神经源性膀胱功能障碍的一种罕见并发症]
Ugeskr Laeger. 1993 Jul 26;155(30):2352-3.
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An evaluation of the clinical pathologic findings in experimentally induced urinary bladder rupture in pre-ruminant calves.对反刍前犊牛实验性诱导膀胱破裂的临床病理结果评估。
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Non-traumatic bladder rupture showing less than 10 Hounsfield units of ascites.非创伤性膀胱破裂，腹水密度小于10亨氏单位。
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Ascitic fluid with ammonia odor as a symptom of bladder rupture.伴有氨味的腹水是膀胱破裂的一种症状。
Acute Med Surg. 2015 Aug 12;3(2):152-154. doi: 10.1002/ams2.150. eCollection 2016 Apr.
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Pseudorenal failure secondary to reversed intraperitoneal autodialysis.继发于腹膜内自体透析逆转的假性肾衰竭。
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An unusual case of spontaneous bladder perforation with associated autodialysis of the ensuing urinary ascites.一例罕见的自发性膀胱穿孔并伴有随后尿液腹水的自体透析病例。
Case Rep Med. 2011;2011:145084. doi: 10.1155/2011/145084. Epub 2011 Nov 16.

本文引用的文献

1
THE ACUTE ABDOMEN OF UNRECOGNIZED BLADDER RUPTURE.
Arch Surg. 1965 Mar;90:371-4. doi: 10.1001/archsurg.1965.01320090049011.
2
PERITONEAL SELF-DIALYSIS FOLLOWING TRAUMATIC RUPTURE OF THE BLADDER.
J Urol. 1964 Apr;91:343-6. doi: 10.1016/s0022-5347(17)64126-0.
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Spontaneous rupture of the bladder.膀胱自发性破裂
Br J Urol. 1959 Mar;31(1):78-86. doi: 10.1111/j.1464-410x.1959.tb09386.x.
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Spontaneous rupture of the normal urinary bladder: report of one case.
Surgery. 1954 May;35(5):805-8.
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[Spontaneous rupture of a neurogenic bladder. Report of a new case].[神经源性膀胱自发性破裂。1例新病例报告]
J Radiol. 1982 Oct;63(10):553-5.
6
Intraperitoneal extravasation of urine. BUN-serum creatinine disproportion.尿液腹腔外渗。血尿素氮与血清肌酐比例失调。
JAMA. 1972 Jul 31;221(5):491-2.
7
Urinary ascites complicating spina bifida.脊柱裂并发尿性腹水
Arch Dis Child. 1971 Feb;46(245):103-5. doi: 10.1136/adc.46.245.103.
8
Bladder injury during herniorrhaphy. Manifested by ascites and azotemia.
Urology. 1974 Jan;3(1):89-90. doi: 10.1016/s0090-4295(74)80072-5.
9
Spontaneous rupture of the urinary bladder.膀胱自发性破裂
Scand J Urol Nephrol. 1985;19(2):155-6. doi: 10.3109/00365598509180247.
10
Neonatal urinary ascites.新生儿尿腹水
Arch Dis Child. 1985 Jul;60(7):676-8. doi: 10.1136/adc.60.7.676.