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秦××,男,36岁,社员,1981年3月27日就诊。患者小便困难反复发作一年半,尿血、尿痛4小时。1979年冬开始感腰重不适,时有下腹部胀痛,并牵引两侧睾丸不适。曾在本院诊为“尿路结石”,间断性口服中药排石汤,未见明显效果。1980年9月,反复出现小便疼痛及排尿中断现象,未予治疗,10月份自行缓解。1981年3月27日晨起又突然尿道胀痛,小便色红,点滴而出,历时5分钟方尽,尿后胀痛缓解。自用手触摸阴茎,发现根部腹侧有一硬块,触痛,而就诊。入院检查:体温、呼吸、脉搏、血压均正常,发育正常,营养中等,神清合作。心、肺正常,腹软,肝脾未及,下腹(膀胱区)轻微压痛,无反跳痛,胃区无叩痛。尿道球部可摸到一蚕豆大边缘清楚的硬物,有棱角,不能
Qin × ×, male, 36 years old, member, March 27, 1981 treatment. Patients with recurrent urinary difficulties for a year and a half, hematuria, dysuria 4 hours. The beginning of the winter of 1979, waist discomfort, when lower abdominal pain, and traction on both sides of the testicular discomfort. Have been diagnosed in this hospital as “urinary tract stones”, intermittent oral Chinese medicine Paishi, no significant effect. September 1980, repeated episodes of urinary pain and urinary incontinence, no treatment, self-remission in October. March 27, 1981 morning and suddenly urinary tract pain, urine red, dripping, lasted 5 minutes to do, urinary pain relief. Touch the penis from his hand and found a lump on the ventral root, tenderness, and treatment. Admission examination: body temperature, breathing, pulse, blood pressure are normal, normal development, moderate nutrition, clear cooperation. Heart, lungs normal, abdominal soft, liver and spleen not yet, lower abdomen (bladder area) slight tenderness, no rebound tenderness, no percussion pain in the stomach area. Urethra Department of the ball can be touched a broad edge of broad beans hard, angular, can not