- 期刊
Spontaneous Rupture of the Bladder in Childhood: Report of one Case
孩童期自發性膀胱破裂：一病例報告
摘要
膀胱破裂大部發生於意外傷朗合併骨盆腔肌折的病人，非外傷性較為少見。在年幼病童更屬罕見。當病人臨床上出現任何排尿異常，腹部不適或代謝性機能異常時，必須要把此一可能病症列為鑑別診斷。 本文所提病例為一年幼嬰兒，因為表現出反常的乏尿，腎功能異常與無法解釋的腹水，在緊急照會泌尿科且臨床的臆斷下，安排胱尿道攝影術並顯示造影劑從膀胱外流入腹腔內，證實是一腹腔內型的膀胱破裂。(Intraperitoneal rupture of bladder). 初期的治療在泌尿外科的建議下給予嘗試性地留置尿管引流、靜脈營養、輸液補充與廣泛性抗生素使用，並細心地臨視有無併發症發生，譬如：腹膜炎，敗血症等等。經過兩星期的內科性治療後，病人臨床上無任何發燒或其他的主訴，重復性的膀胱尿道攝影顯示無造影劑外漏現象，病人目前腎功能與排尿情況都已恢復正常。
並列摘要
Perforation of the urinary bladder without history of antecedent trauma is a rare clinical occurrence in children. but should be considered in patients with voiding disorders, abdominal symptoms and unexplained metabolic disturbances. The present report concerns a young infant who presented with irritability, abdominal colic, decreased urine output; blood examinations showing mild leukocytosis, azotemia and metabolic acidosis. Further cystogram and cystoscopy confirmed rupture of the bladder. she had an uneventful recovery after a twelve days of conservative treatment with indwelling catheterization and nutritional support. A subsequent urogram revealed complete healing of the lesion.
延伸閱讀
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