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宋××,男,27岁,司机.1981年1月31日上午7时,感觉左侧阴囊沉胀不适,约5分钟后,突变为阵发性绞痛,持续性加剧.此时大汗淋漓,呻吟不止.于上午7时40分急诊入院.过去曾有同样病史.检查:左侧上方阴囊内精索增粗、缩短,呈条索状肿块,并有外旋之螺纹.睾丸位置较对侧抬高及轻度水肿,有压痛.化验室检查:白细胞8200,中性70%.诊断:左侧睾丸扭转。治疗经过:病人仰卧位,以2%普鲁卡因8毫升局麻.麻醉后,以手法将睾丸向内后方旋转至360度时,精索伸直,阴囊内条索状肿块即消失,睾丸完全下降,下午痊愈出院。讨论1、睾丸扭转(亦精索扭转)较常见于睾
Song × ×, male, 27 years old, driver. January 31, 1981 at 7 am, I feel the swelling of the left scrotum discomfort, about 5 minutes later, sudden change to paroxysmal colic, continued to intensify. Dripping, moaning more than at 7.40am emergency admission to the hospital in the past had the same medical history check: the left upper scrotum slender, shortening, was a cord-like mass, and external rotation of the thread testicular position than Contralateral elevation and mild edema, tenderness. Laboratory tests: white blood cells 8200, 70% neutral. Diagnosis: left testicular torsion. After treatment: the patient supine position, to 2% procaine 8 ml local anesthesia, after anesthesia, the way the testis back inward rotation to 360 degrees, the spermatic cord straight, scrotal cord-like mass disappears, the testis Completely dropped, discharged in the afternoon cured. Discussion 1, testicular torsion (also spermatic cord twisting) is more common in the testis