Multiple injury and diagnosis and treatment of 20 cases of bladder rupture.doc

 PAGE \* MERGEFORMAT 5 Multiple injury and diagnosis and treatment of 20 cases of bladder rupture [Abstract] Objective To summarize the multiple injury and the diagnosis of bladder rupture and treatment experience. Methods From May 1999 to May 2009 among 20 patients with multiple injuries were treated with bladder rupture were retrospectively analyzed. the results of surgical treatment of 18 cases, 2 cases with conservative treatment, were cured. Conclusions and bladder ultrasound diagnostic injection test is the preferred method of treatment to surgery. [Keywords:] injury; bladder rupture May 1999 to May 2009 the people of Urology Guannan multiple injuries were treated 20 patients with bladder rupture, results were satisfactory, are as follows. 1 General Information 1.1 clinical cases in this group 20 cases, 16 males and 4 females; age of 62 years maximum, minimum of 18 years, mean 35 years. Combined with other parts of the pelvic fracture injuries were 12 cases; abdominal organ injury 8 cases; rib fractures in 5 cases; brain injury in 4 cases; urethral rupture in 3 cases; limb fractures in 3 patients. Clinical types: peritoneal appearance in 12 cases, 60%; peritoneal 4 cases of 20%; mixed type in 4 cases , accounting for 20%. the shorter length of stay 10 days and 35 days, an average of 15 days. 1.2 Diagnosis of all patients had a clear history of trauma, there is gross hematuria and varying degrees of peritoneal irritation; 14 patients were diagnosed with ultrasound and bladder injection test, a routine CT examination 4; 2 cases of bladder X ray angiography. 1.3 The treatment and surgical treatment results of 18 cases, including 1 case of delayed laparoscopic repair of bladder rupture, 2 cases of conservative treatment, but were significantly prolonged hospital stay, surgical incision in the lower abdomen are used to repair the bladder retropubic space after the breach should be adequate drainage, due to peritoneal bl