Palomar J, Polanco E, Frentz G
J Trauma. 1980 Mar;20(3):239-41.
Thirty-four cases of rupture of the bladder due to blunt trauma of the abdomen are reviewed. Intraperitoneal rupture occurred in 41% of the patients: extraperitoneal rupture occurred in 59% of them. Thirty-five per cent of the patients with extraperitoneal bladder rupture sustained concomitant intraperitoneal visceral injuries. While repairing the extraperitoneal bladder rupture a routine laparotomy through a small incision over the linea semicircularis was helpful in discovering intraperitoneal injuries in patients previously assessed by the general surgery service and considered to be free of intraperitoneal pathology.
回顾了34例因腹部钝性创伤导致膀胱破裂的病例。41%的患者发生腹膜内破裂，59%的患者发生腹膜外破裂。腹膜外膀胱破裂患者中有35%同时伴有腹膜内内脏损伤。在修复腹膜外膀胱破裂时，通过半圆形线上的小切口进行常规剖腹术，有助于发现先前经普通外科评估且被认为无腹膜内病变的患者的腹膜内损伤。
