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患儿,男,14小时,足月臀位难产,生后有窒息。因阴囊红肿10小时入院。查体:新生儿貌,发育营养一般、精神可、心肺及腹部未见异常。男性外生殖器,右侧阴囊肿胀,暗紫色,精索粗大、质韧、不活动.睾丸较对侧增大,上移、压痛。诊断:新生儿睾丸扭转。入院后急症手术见右侧睾丸被膜下渗血较多,形成血块。翻出睾丸见右侧精索顺时针扭转360°,睾丸紫暗。复位后热敷,精索封闭(0.25％普鲁卡因),针刺睾丸三针见一针渗血,予以保留,固定于阴囊肉膜下,精索固定两针,刀口及阴囊分别置
Children, male, 14 hours, term breech dystocia, postnatal asphyxia. Scrotal swelling due to 10 hours admission. Physical examination: newborn appearance, developmental nutrition general, mental, heart and lungs and abdomen no exception. Male external genitalia, the right scrotum swelling, dark purple, slender slender, quality tough, inactive.Testicles than the contralateral increase, up, tenderness. Diagnosis: Neonatal testicular torsion. Emergency surgery after admission to see the right testicular capsule more bleeding, the formation of blood clots. Turn the testicles see the right sphinx turn clockwise 360 °, dark purple testicles. After the reset heat, spermatic cord closed (0.25% procaine), acupuncture testicular three needle see a needle oozing, to be retained, fixed in the scrotum meatal, spermatic cord fixed two needles, knife and scrotum were set