论文部分内容阅读
病儿,男,2岁,因“左侧阴囊空虚2年”入院。病儿系第1胎第1产,其母产前行B超检查发现胎儿左侧阴囊肿胀,诊断:胎儿睾丸肿瘤;剖腹产娩出后,左侧阴囊红肿,约8cm×7cm×7cm大小,囊性,有波动感。阴囊皮肤暗红色,发亮,痛明显,透光试验(-),左侧睾丸未扪及。穿刺抽得血性溶液18ml,证实为血肿,之后又穿刺减压2次,静脉应用抗生素及止血药物,肿块缩小。当时诊断:“阴囊血肿,睾丸扭转(左)。”入院查体:左侧阴囊发育不良,触及一约0.5cm×0.5cm×0.5cm大小肿物,质软,右侧睾丸相对较大。入院后择期全身麻醉下行腹股沟阴囊探查术。术中见精索粘连,显露不清,精索
Sick child, male, 2 years old, due to “left scrotum emptiness 2 years” admission. Sick child line 1 first birth, the mother’s prenatal line B ultrasound examination revealed fetal left scrotal swelling, diagnosis: fetal testicular cancer; caesarean section after delivery, left scrotal swelling, about 8cm × 7cm × 7cm size, cystic , There is a sense of volatility. Scrotal skin dark red, shiny, obvious pain, light transmission test (-), left testicular palpable. Piercing pumping bloody solution 18ml, confirmed as hematoma, and then puncture decompression 2 times intravenous antibiotics and hemostatic drugs, the tumor shrinks. At that time the diagnosis: “scrotum hematoma, testicular torsion (left).” Admission examination: left scrotum dysplasia, touched a size of about 0.5cm × 0.5cm × 0.5cm mass, soft, relatively large testis on the right. Elective general anesthesia after admission groin scrotal exploration. See intraoperative spermatic cord adhesion, revealed unclear, spermatic cord