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男孩,8个月,1964年11月6日入院。病儿于2个多月前起,有尿频及排尿困难,不久排尿呈点滴状,无血尿或脓尿,一个半月前,其母亲偶而发现病儿下腹部偏右侧有一肿块,如病儿拳头大小,半月前开始呕吐,并有便秘与腹泻交迭现象。身体日益消瘦。体格检查:发育营养较差,全身淋巴腺不肿大,心肺无异常发现,右下腹可见一肿块突出,约6×11厘米,呈囊状,稍能左右移动,无触痛,压之滴尿。另于左下腹有8×6厘米的肿块,与前述肿块相连,质硬,不能移动,下界不清。肝在剑突下两横指,脾未扪及,肠鸣音正常。肛诊时可于直肠前方扪清相连之二肿块之范围,不
Boy, 8 months old, admitted to hospital on November 6, 1964. Sick children in more than 2 months ago, frequent urination and dysuria, urination was dripping soon, no hematuria or pyuria, a month and a half ago, his mother occasionally found the right child under the abdomen had a mass on the right side of the block, such as sick child fist size , Vomiting half a month ago, and constipation and diarrhea overlap phenomenon. The body is losing weight. Physical examination: developmental malnutrition, systemic lymphatic gland is not enlarged, no abnormal heart and lung, the right lower quadrant can be seen a lump prominent, about 6 × 11 cm, cystic, can move around, no tenderness, pressure drops of urine . Another in the left lower quadrant with 8 × 6 cm mass, connected with the mass, hard, can not move, the lower boundary is not clear. Liver in the xiphoid two horizontal fingers, the spleen is not palpable, normal bowel sounds. Anorectal examination in the rectum palpable in front of the scope of the two lumps, no