1临床资料患者,男,17岁,以“左侧阴囊肿大伴持续性疼痛8h”为主诉入院。入院8h前,患者无明显诱因出现左侧阴囊肿大,伴持续剧烈疼痛,向腹股沟及下腹部放射,并逐渐加重。患者既往身体健康。入院体格检查:体温37.8℃,脉搏120次/min,呼吸26次/min,血压122/80 mm Hg(1 mm Hg=0.133kPa)。全身浅表淋巴结无肿大;双肺、心脏听诊无异常。专科检查:左侧阴囊皮肤潮红,左侧附睾肿 1 clinical data patients, male, 17 years old, with “left scrotum enlargement with persistent pain 8h ” mainly for admission. 8h before admission, there was no obvious incentive for patients with left scrotal enlargement, with persistent severe pain, radiation to the groin and lower abdomen, and gradually increased. In the past, the patient was in good health. Admission physical examination: body temperature 37.8 ℃, pulse 120 beats / min, breathing 26 beats / min, blood pressure 122/80 mm Hg (1 mm Hg = 0.133kPa). Systemic superficial lymph nodes without enlargement; lungs, auscultation without heart abnormalities. Specialist examination: the left scrotal skin flush, the left epididymis