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患者,男,6岁.1岁时父母发现经常湿裤,仔细观察,见尿线细,排尿后滴沥不尽,白天重,夜里轻,活动后滴尿明显加剧。且尿线向前上方抛出。射程短,尿频,每日30余次,每次尿量仅有10—30ml。尿黄而混浊,尿后膀胱仍有胀感。近一年有时左侧腰部胀痛,并伴有发烧。体检:双肾区无隆起,无叩痛,肾没触及。输尿管走行区无压痛,膀胱区膨隆明显,膀胱底位于脐下1.5cm,并有轻度压痛。生殖器外观无畸形,尿道外口无狭窄,但局部潮湿,有尿液外溢,包皮口和外道外口略有红肿。排尿时,尿线细,同时阴茎与阴囊交界处近侧尿道有明显扩
Patient, male, 6 years old .1 years old parents often found wet pants, careful observation, see fine urine, urinary dripping dripping endless, heavy during the day and night, dripping significantly increased after the activity. And the urine line thrown forward above. Short range, frequent urination, more than 30 times a day, each urine output is only 10-30ml. Urine yellow and turbid, bladder swelling after urination still. Nearly a year, sometimes the left side of the waist pain, accompanied by fever. Physical examination: no kidney area uplift, no percussion pain, kidney did not touch. Ureteral walking without tenderness, bulging bladder area significantly, the bladder at the bottom of the umbilical 1.5cm, and mild tenderness. Genital appearance without deformity, urethral orifice without stenosis, but the local wet, there is urine spill, foreskin and outside the outer mouth slightly inflamed. Urination, urinary fine, at the same time at the junction of the penis and scrotum proximal urethral obvious expansion