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患者,男,84岁。因进行性排尿困难2年,加重1个月,于2012年4月12日入院。入院前未曾服用药物治疗,B超检查提示前列腺增生,剩余尿450ml。查体:腹部检查无异常,左侧睾丸稍大,质地软,表面光滑,精索无增粗、无压痛,对侧睾丸及附件未见异常。直肠指检:前列腺两侧叶增大,质地偏硬,界限尚清。实验室检查:血常规、肝肾功能正常,血清PSA>5 000μg/L;腹部B超示肝脏未见异常;X线胸片示两肺纹理增多,两上肺陈旧性肺
Patient, male, 84 years old. Due to progressive dysuria 2 years, increased 1 month, on April 12, 2012 admission. Admitted to hospital before taking medication, B-ultrasound prompted prostate hyperplasia, the remaining urine 450ml. Physical examination: no abnormal abdominal examination, the left testis slightly larger, soft texture, smooth surface, spermatic cord without thickening, no tenderness, no contralateral testicular and accessories. Digital rectal examination: the leaves on both sides of the prostate enlargement, the texture is too rigid, clear boundaries. Laboratory tests: blood, normal liver and kidney function, serum PSA> 5 000μg / L; abdomen B ultrasound showed no abnormalities in the liver; X-ray showed increased lung texture, two lung old lung