收治了４３例外伤性闭合性膀胱破裂：腹膜内型１７例，腹膜外型２４例，混合型２例；合并其它脏器伤４０例（９３．０％），术前确诊３７例（８６．０％）；４０例进行手术修补裂口、引流等治疗，３例进行保守治疗，近期均无并发症及死亡。认为：注水试验和膀胱造影是外伤性闭合性膀胱破裂简便、可靠的诊断方法；对外伤性膀胱破裂应积极手术治疗，保守治疗应严格掌握适应症并慎重进行。 Forty-three traumatic closed bladder ruptures were treated: 17 cases of intraperitoneal, 24 cases of peritoneal and 2 cases of mixed type. Forty cases (93.0%) were complicated with other organ injuries and 37 cases were diagnosed preoperatively. 0%); 40 cases of surgical repair of the gap, drainage and other treatment, 3 cases of conservative treatment, no recent complications and death. It is considered that water injection test and cystography are simple and reliable diagnostic methods for traumatic closed bladder rupture. Surgical treatment of traumatic bladder rupture should be actively performed. Conservative treatment should be strictly controlled and carefully performed.