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病人男,37岁。因“发现下腹壁无痛性包块3d”入院。查体:生命体征平稳,一般情况好。心肺未发现异常体征于耻骨联合前方皮下软组织内扪及一约3cm×3 cm包块,表面光滑,质地偏韧,活动度差,无压痛,与深部组织似有粘连。颈部、腋窝及腹股沟区淋巴结无肿大。行CT平扫提示耻骨联合前正中软组织影,与耻骨、阴茎海绵体无粘连,盆腔内无肿大淋巴结。诊断“腹壁包块(良性可能性大)”。完善相关检查无禁忌后在持续硬膜外麻醉下行腹壁包块切除术。术中见包块位于皮下脂肪层,大小约
Male patient, 37 years old. Because of “found lower abdomen painless mass 3d ” admitted. Physical examination: stable vital signs, the general situation is good. No signs of abnormal heart and lung in the pubic symphysis in front of soft tissue subcutaneous palpable palpable about 3cm × 3cm, smooth, tough texture, poor mobility, no tenderness, and deep tissue seems to have adhesion. Neck, armpit and groin lymph nodes without swelling. Line CT scan prompted the pubic symphysis before the median soft tissue shadow, and the pubis, penis sponge no adhesion, no pelvic lymph nodes. Diagnosis “Abdominal mass (benign possibility) ”. Improve the relevant inspection without contraindication in the continuous epidural anesthesia abdominal abdominal mass resection. See the mass in the subcutaneous fat layer, about the size