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患者男,58岁,已婚,农民。因阴茎金属环嵌顿一周于1991年9月5日由外院转入。一周前为满足异常的性欲要求,自行将一轴承套在阴茎龟头上。不久,龟头明显膨胀,轴承则逐渐向阴茎根部滑去,阴茎中、前部及龟头更加膨胀,欲取下已不可能。因自认能“消退”而不愿求医,直至阴茎高度肿胀、疼痛难忍、排尿困难,方就诊。体检:阴茎、龟头高度肿胀,皮肤及包皮显暗紫红色,有散在的瘀血斑及血泡,表面有淡红色液体渗出,阴茎根部有一轴承深嵌于肿胀之皮肤组织中,不能活动。阴茎长度12cm,最大周径17.5cm,最小周径14cm。
Male patient, 58 years old, married, farmer. Due to penile metal ring incarceration week in September 5, 1991 from outside the hospital transferred. A week ago to meet the abnormal sexual desire, a bearing on their own in the penis glans. Soon, the glans significantly expanded, the bearings gradually slide to the penis roots, the penis, anterior and glans more bulging, want to remove impossible. Because of their ability to “dissipate” and do not want to seek medical treatment, until the height of the penis swelling, pain unbearable, dysuria, square treatment. Physical examination: Penis, glans height swelling, skin and foreskin was dark purple, scattered bleed spots and blood bubbles, the surface has a reddish liquid exudation, the root of the penis has a deep embedded in the swelling of the skin tissue, can not move. Penis length 12cm, maximum circumference 17.5cm, minimum circumference 14cm.