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目的:根据实验研究如何引起老年人自发性膀胱破裂,并对此做出诊断方法及有效的治疗。方法:选取22例此病患者,研究并回顾分析他们的临床资料。结果:17例出现腹膜内型膀胱破裂,2例出现腹膜外形膀胱破裂,19例做膀胱修补术,3例不用做手术,死亡2例,死亡率为10%。结论:B超是最新的诊断方法,膀胱造影是最重要的检查手段,老年人自发性膀胱破裂的基础疾病是前列腺增生,导致膀胱过度膨胀。所以,全方面的探寻患者病史并进行相关检查,研究最新的治疗方法,可提高病人的痊愈率。
Objective: To study how to induce spontaneous bladder rupture in elderly patients and to make a diagnosis and effective treatment for this. Methods: Twenty-two patients were selected to study and review their clinical data. RESULTS: Intraperitoneal bladder rupture occurred in 17 cases, peritoneal bladder rupture in 2 cases, bladder repair in 19 cases, surgery in 3 cases, and death in 2 cases with a mortality rate of 10%. Conclusion: Ultrasonography is the latest diagnostic method. Bladderography is the most important examination method. The underlying disease of spontaneous bladder rupture in the elderly is benign prostatic hyperplasia, which leads to overactive bladder. Therefore, all aspects of exploring the patient’s medical history and related checks to study the latest treatment methods, can improve the patient’s cure rate.