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例1 男,3个月。固出生后排尿时脐部喷尿于1972年3月15日入院。体检:脐部有直径1.5mm的小孔,未见尿液溢出;观察排尿时,尿液自小孔喷出。从脐部小孔插入塑料管,注入美蓝及造影剂进行检查,均证实与膀胱相通。诊断为脐尿管瘘。经手术切除整个瘘管并修补膀胱而治愈出院。例2 男,5岁。因尿频尿痛2年,伴脐部红肿3天,于1978年8月6日入院。常有尿频尿痛发作,按泌尿系感染治疗,可缓解症状。入院3天前又出现尿频尿痛,伴有脐下疼痛、肿胀,发热。尿常规检查:蛋白(++),白细胞、脓细胞满视野,红细胞(+)。入院后次日脐部隆起,破溃,流出脓液及较稀液体,考虑为脐尿管囊肿继发感染。经抗生素治疗及引流后,手术切除窦道及囊肿,膀胱修补后治愈出院。
Example 1 male, 3 months. Postpartum urination umbilical spit urine was admitted on March 15, 1972. Physical examination: umbilical diameter of 1.5mm holes, no urine overflow; observe urination, the urine spray from the hole. Insert the plastic tube from the umbilical orifice, injecting methylene blue and contrast agent for examination, are confirmed with the bladder. Diagnosis of urachus fistula. Surgical removal of the entire fistula and repair the bladder and cured discharged. Example 2 male, 5 years old. Urine pain due to urinary frequency 2 years, with umbilical swelling 3 days, on August 6, 1978 admission. Often urinary frequency dysuria episodes, urinary tract infection treatment, can relieve symptoms. Urinary dysuria appeared 3 days before admission, accompanied by umbilical pain, swelling, fever. Urine routine examination: protein (++), white blood cells, pus full field of view, red blood cells (+). The next day after admission umbilical uplift, ulceration, out of the pus and more dilute liquid, consider secondary infection of the urachal cyst. After antibiotic treatment and drainage, surgery to remove the sinus and cysts, bladder repair cured after discharge.