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例1 男,26岁。左下腹剧烈疼痛伴同侧睾丸肿痛10小时。1991年1月25日1时熟睡醒后,左下腹剧痛难忍就诊,皮下注射阿托品0.05mg,1小时后症状无缓解,再次给止痛药后疼痛缓解入院。检查:T37.2℃,P82次/分,Bpt6.0/10.8kPa,神清,痛苦面容,腹平软。左阴囊红肿,无破溃触痛。X线腹部平片第4腰椎体右下缘有一半米粒大致密影,疑右输尿管结石。10时剧痛再次出现,查左精索下副睾、睾丸明显增大变硬。13时硬膜外麻醉下探查术。术中见左精索、副
Example 1 male, 26 years old. Severe left lower quadrant pain with ipsilateral testicular swelling and pain for 10 hours. At 25 o’clock on January 25, 1991 at 1 o’clock wake up, the left lower abdominal pain unbearable treatment, subcutaneous injection of atropine 0.05mg, 1 hour after the symptoms did not alleviate, once again relieve pain after pain medication admission. Check: T37.2 ℃, P82 times / min, Bpt6.0 / 10.8kPa, God clear, painful face, abdominal soft. Left scrotum swelling, no ulceration tenderness. X-ray abdominal plain film fourth lumbar vertebral body right lower edge of half a grain of rice generally dense shadow, suspected right ureteral calculi. 10 pain again appear, check left spermaticus under the testis, testicular increased significantly harden. 13 when epidural anesthesia under exploration. See surgery left spermatic cord, vice