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患者,男,76岁,退休工人。因排尿呈点滴状12天伴尿闭3天以尿潴留入院。查体:膀胱充盈,脐上2横指,肛指检查前列腺Ⅲ°肿大,中央沟消失,上极扪不清,质中,表面光滑有压痛。实验检查:血尿素氮9.4mmol/L,肌酐219μmol/L,诊断:前列腺增生症伴尿潴留。处理:立即置F_(16)号前列腺尿管引出残余尿2850ml,在肾功恢复正常后行膀胱镜检查,发现前列腺中叶肥大并向腔内突出,膀胱颈后唇肥厚及输尿管间嵴肥大、膀胱粘膜充血水肿明显,可见小梁。经术前准备,在持续硬膜外麻醉下行耻骨上膀胱前列腺摘除术,术中见前列腺中叶肥大,明显突向腔内、后唇肥厚、间嵴增生、
Patient, male, 76 years old, retired worker. Due to urination was drip 12 days with urine closed for 3 days urinary retention admission. Physical examination: filling the bladder, umbilical 2 transverse means, anal finger examination of prostate enlargement Ⅲ °, the central groove disappeared, extremely palpable, quality, smooth surface with tenderness. Experimental tests: blood urea nitrogen 9.4mmol / L, creatinine 219μmol / L, diagnosis: benign prostatic hyperplasia with urinary retention. Treatment: Immediately set F_ (16) prostate urethra leads to residual urine 2850ml, cysts in the normal renal function after cystoscopy and found that the middle of the prostate hypertrophy and protruding to the cavity, the bladder neck lip hypertrophy and ureteral crest hypertrophy, bladder Mucosal congestion and edema significantly visible trabecular. After preoperative preparation, continuous epidural anesthesia under the suprapubic bladder prostatectomy, the surgery see the middle of the prostate hypertrophy, significant protruding cavity, posterior lip hypertrophy, intercristal hyperplasia,