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患者,57岁。因血尿伴尿频、尿痛、排尿困难2天,于1985年2月5日以“血尿待查”入院。入院后因排尿困难急诊做耻骨上膀胱造瘘,由造瘘管流出血性尿液。血常规:WBC 16400/mm~3,N78%。KUP见耻骨联合上方相当于膀胱区有一5×5 cm大圆形结石影。未做膀胱镜检,诊为膀胱结石。2月8日行膀胱切开取石,膀胱内未见结石,膀胱粘膜充血水肿,无肿瘤。于膀胱颈后侧粘膜下触及一硬块。继而切开腹膜,检查腹腔,仍未见结石。经用一手置膀胱腔内,另一手置于盆腔底部做双合诊,于前列腺部触及硬块,考虑为前列腺结石。于是从耻骨后钝性分离至前列腺包囊前壁,切开囊壁,触及一质地坚硬、凹凸不平的圆球形硬块,以指用力从中抠出灰黄色、质硬的多角形小结石130块。囊壁坚韧、粗糙无出血,囊腔
Patient, 57 years old. Due to hematuria with frequent urination, dysuria, dysuria 2 days, on February 5, 1985 with “hematuria pending” admission. After admission due to dysuria emergency suprapubic cystostomy, bleeding from the fistula catheterization of urine. Blood: WBC 16400 / mm ~ 3, N78%. KUP pubic symphysis is equivalent to the top of the bladder area has a 5 × 5 cm large round stone shadow. No cystoscopy, diagnosed as bladder stones. February 8 line lithotomy cystectomy, bladder no stones, congestion and edema of the bladder mucosa, no tumor. Submucosal touch on the back of the bladder neck a lump. Then cut the peritoneum, check the abdominal cavity, still no stones. With a hand in the bladder cavity, the other hand at the bottom of the pelvis to do double-Clinic, touching the lumps in the Ministry of the prostate, considered as prostate stones. Then blunt dissection from the pubic to the anterior cyst of the prostate capsule, cut the wall, touching a hard, uneven round spherical lumps, which means hard to pull out from the gray, hard polygons 130 small stones. Tough wall, rough without bleeding, cysts