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患者男,25岁,病案号13736。因右侧附睾结节性肿块伴疼痛4月,于1973年3月入院。1972年12月无何诱因右腹股沟处针刺样疼痛伴下坠感,活动时加重,体息时症状减轻,感乏力,无盗汗及午后潮热。否认外伤及结核病史。查体:阴茎、阴囊、睾丸无异常。右侧附睾尾部可触及约1.5×1.0×1.0厘米质硬结节,表面光滑无粘连,触痛,精索无串珠样改变和增粗,肛诊前列腺无异常,胸透未见异常。血、尿常规正常。多次尿集菌法未查到抗酸杆菌,血沉1小时3毫米。临床诊断:右侧附睾结核,曾用链霉素、雷米封、对氨基水杨酸等,治疗三年。症状无减轻,疼痛无缓解,肿物逐渐
Male patient, 25 years old, case number 13736. Due to the right epididymal nodules with pain in April, was admitted to hospital in March 1973. December 1972 no incentive for the right groin at the acupuncture-like pain with a sense of falling, aggravating activities, physical symptoms alleviate, feeling tired, no night sweats and no hot flashes. Denied the history of trauma and tuberculosis. Physical examination: penis, scrotum, testis no abnormalities. Right epididymis tail touches about 1.5 × 1.0 × 1.0 cm hard nodules, smooth surface without adhesions, tenderness, sperm-like changes and thickening of the spermathepsis, anorexia prostate no abnormalities, no abnormal chest X-ray. Blood, urine routine normal. Urethral bacteria repeatedly found not acid-fast bacilli, erythrocyte sedimentation rate 1 millimeter 3 millimeters. Clinical diagnosis: epididymal tuberculosis on the right, once streptomycin, Remy seal, paracetamol, etc., for three years. No symptoms, no pain relief, tumor gradually