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患者,男,1岁零9月个,因左侧阴囊反复脱出包块8月,复发伴哭闹3小时于2000年9月18日入院。8月前患儿哭闹,排便及站立时左腹股沟出现约拇指大小包块,平卧时消失,随年龄增长,包块渐大,并脱入阴囊,曾二次因包块脱出后无法回缩来我院门诊行手法回纳后消失。3小时前因哭闹包块再次脱出入院。查体:生命体征平稳,发育营养差,欠合作,心、肺正常,腹平软,左侧阴囊有一约 4×6×5cm,梨形,有蒂柄,质硬,压痛包块。诊为左侧腹股沟嵌顿性斜疝。急诊手术,术中见一约4cm盲肠(包括阑尾)及约3cm长回肠脱入阴囊,被内环口嵌顿,肠袢充血,略呈暗红色,将内环口松解,拖出近端肠袢各约
Patients, male, 1 year and 0 months in September, because of the left scrotum repeatedly prolapse mass in August, recurrent with crying 3 hours on September 18, 2000 admission. 8 months ago, children crying, defecation and standing when the left groin about the size of thumb appeared mass, disappeared when supine, with age, mass gradually enlarged, and into the scrotum, once the second due to the prolapse after the prolapse Shrink to our hospital outpatient service back after the disappearance of the law. 3 hours ago due to crying mass again emerge admission. Physical examination: stable vital signs, poor nutrition, lack of cooperation, heart, lung normal, abdominal soft, left scrotum has a 4 × 6 × 5cm, pear-shaped, pedicled, hard, tender mass. Diagnosis of incarcerated inguinal hernia on the left. Emergency surgery, intraoperative see about 4cm caecum (including the appendix) and about 3cm long ileum off the scrotum, the inner ring mouth incarcerated, bowel congestion, slightly dark red, the inner ring mouth release, drag out the proximal Intestine 袢 about each