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患者,男,63岁,农民。1983年12月中旬起,感下腹胀痛,排尿困难,偶有中断,尿色红,无放射痛。服中药治疗后,仅可缓解数日。近一月来,症状加剧,尿血,门诊拟“膀胱结石”予1984年5月18日入院,无脐孔溢液及尿路排石史。腰区无压痛及叩击痛,外生殖器正常。尿RT:蛋白(+)。白细胞(+),红细胞(+++)。下腹X光平片示耻骨上1 cm正中有-0.6×1.2cm之椭圆形密度增高影。诊断为膀胱结石。给于抗感染、止血剂治疗。3天后在局麻下手术,经耻骨上正中切口,达膀胱前壁
Patient, male, 63 years old, farmer. Since mid-December 1983, he had abdominal pain, dysuria, occasional interruptions, urine redness and no radiating pain. After taking traditional Chinese medicine, can only alleviate a few days. The past month, the symptoms worsened, hematuria, outpatient to be “bladder stones” to be admitted on May 18, 1984, no umbilical cord discharge and urinary tract stone row history. Waist area without tenderness and percussion pain, external genitalia normal. Urine RT: protein (+). White blood cells (+), red blood cells (+++). Abdominal x-ray showed suprapubic 1 cm center -0.6 × 1.2cm of oval density increased shadow. Diagnosis of bladder stones. To anti-infection, hemostatic treatment. 3 days after surgery under local anesthesia, the middle of the pubic incision, up to the front wall of the bladder