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叶某,男,22岁,未婚。1986年11月17日晨醒后阴茎勃起,自用手强行下压,出现断裂响声,阴茎立即松软,剧痛难忍,肿大变黑。伤后无排尿困难和血尿,14h后急诊入院。阴茎肿胀下垂,紫黑发亮,远端向左侧偏曲,呈“S”形,长度16.5cm,最大周径26cm,阴茎中段右侧压痛剧烈,阴囊及内容物正常。诊断为右侧阴茎海绵体断裂。在骶麻下急诊手术。术中见右阴茎海绵体中段有1.2cm和1.1cm两处横形断裂口,两断裂口间距为1cm,裂口处聚积黑色凝血块达200g,清除血块,裂口涌血不止,以丝线缝合裂口,挤出阴茎筋膜下积血约300ml后,阴茎明显缩
Yemou, male, 22 years old, unmarried. November 17, 1986 wake up after the morning penile erection, forced down from the hand, there is a crackle, the penis immediately soft, painful, swollen big black. No dysuria and hematuria after injury, 14 h after emergency admission. Penis swelling and drooping, purple and black, remote distorted to the left, was “S” shape, length 16.5cm, maximum circumference 26cm, the right middle of the penis was severe tenderness, scrotum and the contents of normal. Diagnosis of the right side of the penis rupture. Emergency surgery in sacral anesthesia. Surgery, see the middle of the right penis cavernous with 1.2cm and 1.1cm two cross-shaped rupture of the mouth, two rupture gap 1cm, the accumulation of black clot at the gap up to 200g, remove blood clots, breach of bleeding more than to suture slit, squeeze After the penis hemostatic blood about 300ml, the penis was significantly reduced