Koskela E, Kairaluoma M I, Ala-Ketola L, Koskela B, Kontturi M, Larmi T K
Ann Chir Gynaecol. 1977;66(3):150-153.
Fourteen patients operated upon for subcutaneous bladder perforation are reported. The majority of the patients (11/14) had intraperitoneal rupture of the bladder and multiple associated injuries (10/14), most often pelvic fractures (9/14). In 12 patients the injury was caused by a road traffic accident. 2 patients with extraperitoneal rupture presented with a typical history of a blow or kick in the lower abdomen following a drinking session. In doubtful cases cystography was the diagnostic method of choice. The principles of treatment we recommend are well known: urinary drainage with a catheter in all cases, and in intraperitoneal ruptures, prompt surgery.
本文报告了14例因膀胱皮下穿孔而接受手术的患者。大多数患者（11/14）存在膀胱腹膜内破裂并伴有多处相关损伤（10/14），最常见的是骨盆骨折（9/14）。12例患者的损伤由道路交通事故所致。2例腹膜外破裂患者有典型病史，即在饮酒后下腹部受到击打或踢踹。在疑难病例中，膀胱造影是首选的诊断方法。我们推荐的治疗原则众所周知：所有病例均用导管进行尿液引流，对于腹膜内破裂，应及时进行手术。
