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阴茎、阴囊皮肤全部撕脱伤少见,1985年7月,我科收治1例,采用带蒂皮瓣移植修复获得成功,特此报告。患者,男、30岁,已婚,锯板工人,因会阴部外伤10小时,于1985年7月14日急诊来院。入院后查体:患者T37.2℃、P84、R21、BP110/84,心肺无异常,腹部平软,无压痛及反跳痛,肝脾未触及,肠鸣音正常。四肢活动正常。泌尿外科情况:自阴茎根部至阴囊底部,包括整个阴茎阴囊皮肤全部撕脱缺如,阴茎海绵体及两侧精索、睾丸全部裸露,离阴茎头约2cm处有一0.5cm尿道裂伤,粘膜外翻,尿道通肠,但不能自行排尿,膀胱区充盈。治疗经过:入院后当即在硬膜外麻下行清创
Penis, scrotal skin avulsion rare, in July 1985, our department treated 1 case, the use of pedicled flap graft repair success, hereby report. Patient, male, 30 years old, married, sawing worker, due to perineal trauma 10 hours, on July 14, 1985 emergency room. After admission, physical examination: patients T37.2 ℃, P84, R21, BP110 / 84, no abnormal heart and lung, abdominal soft, no tenderness and rebound tenderness, liver and spleen not touched, normal bowel sounds. Extremities activity is normal. Urology: From the root of the penis to the bottom of the scrotum, including the entire penis scrotum skin avulsion completely, penile cavernous and both sides of the spermatic cord, testicular all exposed about 2cm from the penis at a 0.5cm urethral laceration, mucosal Turn, urethral Tongren, but not on their own urination, filling the bladder area. After treatment: immediately after admission, debridement under epidural anesthesia