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临床资料:我院自1992年以来收治36例膀胱破裂者,其中12例为醉酒后腹膜内型破裂者误诊为其它疾病,现分析如下。本组12例患者均为男性,年龄21～65岁,平均41岁。醉酒后都有躁动不安,意识障碍等。醉酒后6～48 h 就诊,均以全腹剧烈疼痛、腹肌紧张、继发性腹膜炎入院。术前误诊为急性胰腺炎4例,腹穿抽出淡血性液2例,清亮淡黄液2例;3例曾做血淀粉酶监测为轻度增高,合并休克2例。术前误诊为肠梗阻肠坏死2例,腹穿为血性液,胸腹透视发现肠道有大量的气液平面,肠鸣音减弱。术前误诊为胃十二指肠穿孔5例,腹部透视未见膈下游离气体,其中1例呕吐有鲜血200～300 ml,考虑为酒精性出血性胃炎所致。术前误诊为急
Clinical data: Our hospital since 1992, 36 cases of bladder rupture, of which 12 cases of intraperitoneal rupture after misdiagnosis as other diseases, are analyzed as follows. The group of 12 patients were male, aged 21 to 65 years, mean 41 years. After drunk have restless, disturbance of consciousness and so on. Drunk after 6 ~ 48 h treatment, all severe abdominal pain, abdominal tension, secondary peritonitis admitted. Preoperative misdiagnosed as acute pancreatitis in 4 cases, abdominal wear out of pale bloody fluid in 2 cases, 2 cases of clear light yellow liquid; 3 cases had done blood amylase monitoring was mild increase in 2 cases with shock. Preoperative misdiagnosed as bowel obstruction intestinal necrosis in 2 cases, abdominal perforation for bloody fluid, chest and abdomen found a large number of intestinal gas and liquid plane, bowel sounds weakened. Misdiagnosed as gastroduodenal perforation in 5 cases before surgery, no gas under the abdominal fluoroscopy, 1 case of vomiting blood 200 ~ 300 ml, considered due to alcoholic hemorrhagic gastritis. Preoperative misdiagnosed as urgent