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邝×,男,70岁,住院号183,601。患者2小时前被汽车撞伤,当即倒地,不省人事约几分钟,醒后发现尿道口有血性物流出,排尿困难,下肢不能活动,即送我院急诊谓骨盆骨折并后尿道损伤入院。经X线照片显示左侧耻骨上下支及右侧耻骨联合部上缘骨拆。尿道造影:后尿道造影缺损4cm。入院后即在硬膜外麻下行盆腔、后尿道、膀胱探查。发现盆腔、膀胱腹膜反摺处有一巨大血肿,清理其内血块约400g,血液约600ml,拭干即见后尿道从
Kwong ×, male, 70 years old, hospitalized 183,601. 2 hours before the patient was hit by a car, immediately fell to the ground, unconscious for about a few minutes, woke up and found urethra bloody discharge, dysuria, lower extremity can not move, that sent to our hospital emergency pelvic fracture and urinary tract injury admission . The X-ray showed the left suprapubic branch and the right pubic symphysis on the edge of bone demolition. Urethra angiography: posterior urethral defect 4cm. After admission, epidural anesthesia in the pelvis, posterior urethra, bladder exploration. Found that the pelvic peritoneal fold at the bladder there is a huge hematoma, clearing the blood clots inside about 400g, blood about 600ml, see the post-urethral dry