Pelvic Fracture and Emergency Management. 1. Examination of Patients who Have Lower Urinary Tract Injury.:1. Examination of Patients who Have Lower Urinary Tract Injury

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From January, 1985, to July, 1991, 228 consecutive patients with high-energy pelvic ring disruptions (exclusive of acetabular fractures) were admitted to Okinawa Chubu Hospital. Thirty-one patients (13.6%) had gross hematuria, 93 patients (40.8%) had micro hematuria, and 90 patients (39.5%) had no hematuria.There were 14 patients (6.1%) who had lower urinary tract injuries; 12 men and two women. One man who had multiple injuries was dead.An intraperitoneal bladder rupture was treated by operative repair of the defect. One extraperitoneal bladder rupture was operated under diagnosis of intraperitoneal rupture, and the others were treated with urethral catheter alone. None of the patients had any complications.Emergency cystostomy was done for two patients with urethral injuries.The lower urinary tract injuries were associated with severe pelvic fracture irrelevant to the classiffication of pelvic fracture.
西日本整形・災害外科学会の論文