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患者,52岁。因进行性排尿困难1年、急性尿潴留半天收入院。否认有肉眼血尿及血精史。近两月来常有腹痛、腹胀及便秘。检查:T 36.3℃,BP17/10kPa,下腹部明显隆起,膀胱浊音界于脐下一指。导尿排空膀胱后,于下腹部扪及一直径约10cm之实质性包块,表面光滑,边界清楚,活动度差。直肠指诊:直肠粘膜光滑,其前面触及一实质性肿物并向后压迫直肠,前列腺与该肿物分界不清,无结节,指套上未染血迹。尿常规检查:RBC(++),
Patient, 52 years old. 1 year due to progressive dysuria, acute urinary retention half a day income hospital. Denied gross hematuria and blood sperm history. Nearly two months often abdominal pain, bloating and constipation. Check: T 36.3 ℃, BP17 / 10kPa, lower abdomen obvious bulge, bladder dullness in the next under the umbilical finger. Catheter emptying the bladder, palpable in the lower abdomen a diameter of about 10cm mass, smooth surface, clear boundaries, poor mobility. Rectal examination: rectal mucosa smooth, in front of touching a substantive mass and the oppression of the rectum back, prostate and the tumor demarcation is unclear, no nodules, refers to the set is not infected with blood. Urine routine examination: RBC (++),