Schraut W H, Huffman J, Bagley D H
Surg Gynecol Obstet. 1983 May;156(5):589-92.
Patients with acute spontaneous bladder perforation have the symptoms and signs of an acute condition of the abdomen which, as a surgical emergency, requires prompt operative treatment. Bladder perforation should be suspected as the cause of this abdominal catastrophe if the history and findings indicate a urinary tract disorder. If the surgeon knows preoperatively that the bladder is perforated, he is able to plan and perform the appropriate surgical procedure with greater dispatch and certainty. The correct preoperative diagnosis should be made more frequently if the primary care physician develops a greater awareness of the possibility of spontaneous bladder perforation as the cause of an acute condition of the abdomen. With earlier diagnosis and earlier surgical treatment, the present reported mortality of 25 per cent for those patients with this condition is likely to be reduced.
急性自发性膀胱穿孔患者具有急腹症的症状和体征，作为外科急症，需要及时进行手术治疗。如果病史和检查结果提示泌尿系统疾病，应怀疑膀胱穿孔是导致此次腹部急症的原因。如果外科医生术前知道膀胱已穿孔，就能更迅速、更准确地规划和实施适当的外科手术。如果初级保健医生对自发性膀胱穿孔作为急腹症病因的可能性有更高的认识，应更频繁地做出正确的术前诊断。随着诊断和手术治疗的提前，目前报道的此类患者25%的死亡率可能会降低。
