After drinking liquor and beer, 31-year-old Xiaodong (pseudonym) drank “Broken Pieces” with friends the night before, and woke up the next day to urinate. Excruciating pain. The doctors of Changxing County Traditional Chinese Medicine Hospital combined the past medical history and imaging examination results to make a judgment: the bladder ruptured, and the urine flowed into the stomach.
Xiaodong is a truck driver who runs long distances in and around the province for a long time. The particularity of his occupation made him take urination as a habit. He suffered from prostatic hyperplasia, urinary retention and other diseases at a young age. There have been two times before that he could not urinate for too long, and the catheterization was performed. Urinary catheter resolves the situation. Compared with the past, the situation was more serious this time, and a large amount of pale yellow fluid was drawn out of the abdominal puncture that day.
Fortunately, Xiaodong did not suffer from bacteremia, septic shock, paralytic ileus, etc. Complicated symptoms, comprehensive condition and patient’s wishes, conservative treatment is being carried out. “If the gap fails to heal during follow-up observation, surgical sutures are still required,” said Luo Qingni, chief physician of the Department of Urology of Changxing County Hospital of Traditional Chinese Medicine, Xiaodong’s attending physician.
Bladder rupture is uncommon in clinical practice. The doctor considered that Xiaodong may have accidentally hit the bladder area due to unconsciousness after being drunk, causing the rupture. As an organ that temporarily stores urine, although the bladder has a certain elasticity, its capacity is limited. When it is full of urine, it will produce the urge to urinate, prompting the brain to direct the human body to urinate. slow. In addition, although the fat and bones around the bladder can play a protective role, when the urine is full, the bladder moves upwards away from the protection of the pubic bone, and the bladder wall becomes thinner, and slight external force can easily cause bladder rupture.
Luo Qingni reminds the public to drink as little as possible at gatherings and do not hold back urine! In particular, citizens who have diseases such as prostatic hyperplasia themselves should seek medical attention in time to avoid tragedies once they have difficulty urinating and lower abdominal pain. In addition to burying the hidden danger of bladder rupture, holding back urine is also very detrimental to human health and will cause many diseases.
Correspondent: Pan Jianlan
Reporter: Chen Hong
Editor: Lou Ting
Editor-in-charge: Jiang Ying