NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN VỠ BÀNG QUANG DO CHẤN THƯƠNG ĐƯỢC ĐIỀU TRỊ BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objective: To study clinical and paraclinical characteristics of patients with bladder rupture due to trauma at Viet Duc hospital from January 2014 to September 2020. Methods: Descriptive cross – sectional study combining retrospective and prospective on 67 bladder rupture patients undergone treatment at Viet Duc hospital. Results: The mean age of the patients was 34.5 ± 12.8 years old; Male patient was 82.1%, female patient was 17.9%. Trauma caused of traffic accident was 86.6%, occupational accident was 13.4%; The average time from the patient's accident to hospital admission was 4.08 ± 1.34 hours; The mean time from patient admission to diagnosis was 3.02 ± 1.14 hours; Traumatic shock was 37.3%; X-ray results: Pelvic fracture was 11.9%, intra-abdominal air was 11.9%, intra-abdominal fluid was 4.5%; Computed tomography results: Bladder wall damage was 85.1%, intra-abdominal drainage was 43.3%, pelvic fracture was 40.3%; Combined organ damage: liver damage was 6% , kidney was 1.5%, spleen was 1.5%, colon was 9.0%, pelvis was 40.3%. Conclusion: Bladder rupture by trauma are common with patients in working age, the cause of traffic accident is the majority with the rate of traumatic shock is 37.3% and the combined pelvic fracture is 40.3%