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例1 3岁.下腹痛、尿闭12小时,于1978年8月18日急诊入院.半月前曾多次发生排尿困难,需行导尿缓解.体检:耻骨上触及一8cm×6cm圆形包块,压痛(+),边界清,不活动.尿道口正常.经导尿排出300ml澄清尿液后包块消失.阴道口见有膜状膈向外膨突.触有囊样感,穿刺抽出无色透明粘液.直肠指诊于直肠前方触及一约6cm×5cm囊性肿块,边界清,无压痛,不活动.血、尿常规正常.诊断:先天性处女膜闭锁并子宫阴道积液致尿潴留.在基础麻醉加局麻下行处女膜切开术,自阴道内流出180ml无色透明粘液,术后当日排尿通畅,随访6年,排尿正常.
Case 1 3 years old. Lower abdominal pain, urinary closure for 12 hours, emergency hospital admission on August 18, 1978. Urine dysfunction occurred several times before the need for catheterization relief. Physical examination: suprapubic touch and a round 8cm × 6cm package Block, tenderness (+), the border is clear, inactive. Normal urethra. After the ureteral discharge of 300ml clarified urine disappeared mass. Vaginal mouth see the diaphragm effusion outward. Touch cystic symptoms, puncture out Colorless transparent mucus .Rectal referral in front of the rectum reach a about 6cm × 5cm cystic mass, clear boundary, no tenderness, no activity. Blood, urine routine. Diagnosis: Congenital hymen atresia and uterine fluid caused by urinary retention In the basic anesthesia plus local anesthesia under the hymen incision, out of the vagina 180ml of colorless and transparent mucus, voiding on the day after surgery, followed up for 6 years, normal urination.