论文部分内容阅读
患者:男,58岁。30~+年前无明显诱因,发现左侧腹股沟有肿物,时隐时现,进行性增大,曾于1997年12月在外院作左侧嵌顿性疝手术,近来突发性局部疼痛,肿物进行性增大,有明显下坠感,排尿困难一周来就诊,拟为腹股沟疝收入院。体检:左侧腹股沟有斜形切口疤痕长约6cm,愈合良好,左腹股沟至阴囊处有一约12×18cm肿物;质中,活动度差,推之可回纳,站立或活动后可突出入阴囊;小便时须用手挤压左侧阴囊方能排尿。实验室检查:血红细胞4.24×10~(12)/L、白细胞6.6×10~9/L、血红蛋白99g/L、白细胞分叶81％。尿常
Patient: Male, 58 years old. 30 ~ + years ago no obvious incentive and found a tumor in the left groin, when the hidden, progressive increase, in December 1997 in the outer hospital for the left incarcerated hernia surgery, the recent sudden local pain , Progressive enlargement of the tumor, there is a clear sense of falling, dysuria a week visit, intends to hospital for inguinal hernia. Physical examination: the incision on the left groin oblique incision about 6cm long, healed well, the left groin to the scrotum at a place about 12 × 18cm mass; quality, poor mobility, push back satisfied that the standing or activity can highlight the Scrotum; urine must squeeze the left side of the scrotum to urinate. Laboratory tests: 4.24 × 10 ~ (12) / L of red blood cells, 6.6 × 10 ~ 9 / L of white blood cells, 99g / L of hemoglobin and 81% of white blood cells. Urine often