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患者男,因尿潴留并充盈性尿失禁2~+月于1989年8月28日入院。6月发现下腹包块,无疼痛及压痛,有酸胀感、咳嗽、用力等加大腹内压时不自主排尿后包块缩小或消失,且无明显诱因性右侧足底、臀部、唇及口腔麻木,右手指抽搐痉挛,屈曲状呈阵发性右腰背胀痛,无放射痛,逐渐右耳听力下降。体查:T37.2℃,BP17.3/10.6Kpa,慢性贫血病容,脾及全身浅表淋巴结未扪及,肝肋下2cm 剑下3 cm 扪及,质中无压痛,心肺肾(一),胸骨压痛,膀胱肿大平脐,轻压痛,导尿后全腹无压痛、肌卫及反跳痛,前列腺Ⅱ度肿大,质中光滑无压痛。化验:Hb35g/L,WBC5.0×10~(?)/L,N0.31,L0.21,M0.01。畸形原粒0.35,中性幼粒0.12,POX
Male patient, due to urinary retention and filling incontinence 2 ~ + on August 28, 1989 admission. June found lower abdomen mass, no pain and tenderness, a sense of soreness, cough, forced increase abdominal pressure involuntary micturition mass shrink or disappear, and no obvious incentive to the right plantar, buttocks, lips And oral numbness, the right hand refers to convulsions spasm, flexion was paroxysmal right back pain, no radiating pain, gradually decreased right ear hearing. Physical examination: T37.2 ℃, BP17.3 / 10.6Kpa, chronic anemia, spleen and systemic superficial lymph nodes not palpable, liver ribs 2cm sword 3 cm palpable mass in the no tenderness, heart, lung and kidney (a) , Sternal tenderness, flat umbilical bladder enlargement, mild tenderness, no tenderness after the whole belly catheterization, myopathy and rebound tenderness, enlargement of the prostate II, the quality of the smooth without tenderness. Laboratory: Hb35g / L, WBC5.0 × 10 ~ (?) / L, N0.31, L0.21, M0.01. Deformable protoplasm 0.35, neutrophils 0.12, POX