临床上有明显外伤史者膀胱破裂比较容易诊断,但对于无明显外伤史且症状较重者诊断就不太容易。现报道膀胱破裂误诊2例。 例1女性,72岁,因剧烈腹痛3天入院。患者3天前突发剧烈腹痛,为全腹持续性腹痛。伴有恶心、呕吐胃内容物,出汗,昏迷,无尿。急送当地医院抢救,按急性腹膜炎予以补液抗休克、抗炎等治疗,症状无缓解,留置尿管无尿液排出。3天后病情加重 Bladder rupture is more likely to be diagnosed in patients with clinically obvious history of trauma, but it is not easy to diagnose patients with severe history without obvious trauma. Reported 2 cases of misdiagnosis of bladder rupture. Example 1 Female, 72 years old, admitted to hospital with severe abdominal pain for 3 days. Sudden severe abdominal pain in patients 3 days ago, for the whole abdomen abdominal pain. With nausea, vomiting stomach contents, sweating, coma, no urine. Urgent delivery to the local hospital for treatment, according to acute peritonitis fluid replacement anti-shock, anti-inflammatory treatment, no symptoms, indwelling catheter without urine discharge. 3 days later the condition worsened