论文部分内容阅读
张××,20岁,战士,住院号16650。于1976年9月19日进行单、双杠运动后突然感到阴囊右侧部位及右腹股沟处持续性剧烈疼痛,并向下腹及大腿内侧放射,同时伴有恶心及畏寒。患病后4小时,由原单位卫生队以嵌顿性腹股沟疝及急性睾丸炎的诊断送入我院就治。入院时体温37.5℃,脉搏90次,呈痛苦表情。检查心、肺及腹部未见异常。阴囊右侧肿胀,精索增粗缩短,睾丸被拉至右腹股沟皮下环处,局部明显压痛。据病史、体征及检查所见,确诊为右侧精索扭转(睾丸移位)。立即在针刺麻醉下施行手术。在阴囊右侧前方作4厘米长切口,依次切开阴囊各层组织,剪开睾丸鞘膜,见溢出10余毫升微混浊的炎性渗液,发现精索明显肿胀,向外侧方扭转约
Zhang × ×, 20-year-old soldier, hospital number 16650. On September 19, 1976 for single and parallel bars suddenly felt the right scotoma and right groin at the Department of sustained severe pain, and to the lower abdomen and thigh medial radiation, accompanied by nausea and chills. 4 hours after illness, the original unit of the health team to incarcerated inguinal hernia and acute orchitis diagnosis sent to our hospital on treatment. At admission, body temperature 37.5 ℃, pulse 90 times, was painful expression. Check the heart, lungs and abdomen no abnormalities. The right scrotum swelling, spermatic cord thickening shortened, the testicles were pulled to the right groin subcutaneous ring at the local tenderness. According to the history, signs and examinations seen, diagnosed as right spermatic cord twisting (testicular displacement). Immediately under anesthesia acupuncture surgery. Right in front of the scrotum for 4 cm long incision, followed by incision of the scrotal layers of tissue, cut the testis sheath, see the overflow of more than 10 ml of micro-turbid inflammatory exudate and found that spermatic cord was significantly swollen, turn around to the lateral