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王某,男,74岁,退休工人。因进行性排尿困难,多次发生尿潴留,在外院行膀胱造口术,带管近三年,从未换管。今因造瘘管闭塞不通,要求手术治疗入院。外科查体见:下腹正中有一橡胶造瘘管,其周缘皮肤被溢尿浸渍,并附有大量脓苔,味臭。造瘘管近腹壁段扪之实体感。指检;前列腺明显增大,表面光滑无结节感,质略硬,触压痛不著,中间沟消
Wang, male, 74 years old, retired workers. Due to progressive dysuria, urinary retention occurs many times, outside the hospital line of bladder ostomy, with tube for nearly three years, never change tube. This fistula due to obstruction nowhere, requiring surgical admission. Surgical examination see: the middle of the abdomen there is a rubber fistula, the peripheral skin was flooding dipping, and accompanied by a large number of pus moss, taste odor. Fistula near the abdominal wall segment palpable sense of the solid body. Refers to the seizure; prostate significantly increased, smooth surface without nodular feeling, the quality of hard, touching tenderness, the middle Gouxian