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男性,5岁,40余天前因排尿困难,尿呈点滴状。在某县医院行耻骨上膀胱造瘘术。术中见尿道内口右侧有半透明菜花状赘生物,约核桃大,取活组织检查,病理诊断为膀胱息肉,术后5日转入我院。入院检查:直肠前壁可扪得约5×4厘米大之纵形包块,前后径扪不清,硬、光滑、固定、具压痛。尿常规:脓细胞5～7。X 线透视:膀胱区无高密度阴影。入院诊断:(1)膀胱肿瘤。(2)泌尿系感染。(3)营养不良Ⅱ度。入院后泌尿系感染严重,尿培养为绿脓杆菌及产气杆菌生长。虽经大量广谱抗菌素治疗,感染未能控制,入
Male, 5 years old, more than 40 days ago due to dysuria, urine was dripping. In a county hospital line suprapubic cystostomy. Surgery see the right urethral translucent cauliflower-like vegetation, about walnut, biopsy, the pathological diagnosis of bladder polyps, 5 days after surgery into our hospital. Admission examination: rectal wall palpable about 5 × 4 cm large longitudinal mass, palpable palpable diameter, hard, smooth, with tenderness. Urine: pus 5 to 7. X-ray: No high-density shadow in the bladder area. Admission diagnosis: (1) bladder cancer. (2) urinary tract infection. (3) malnutrition Ⅱ degrees. Serious urinary tract infection after admission, urine culture for Pseudomonas aeruginosa and Aerobacter aerogenes growth. Although a large number of broad-spectrum antibiotic treatment, the infection failed to control, into