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患儿:男,2个月。因右侧阴囊红肿渐加重,伴发热40天入院。患儿生后20天因哭闹、发热在当地医院就诊时发现右侧阴囊红肿,疑为睾丸炎给予抗感染治疗。此后阴囊红肿时轻时重,持续发热,体温在38℃左右,能正常吃奶,排便排尿正常。体检:一般情况好,右侧阴囊红肿明显,触及约6 cm×4 cm×4 cm 包块,质地坚硬,有触痛。行局部穿刺脱落细胞检查,报告为炎性包块。继续抗炎治疗1周后阴囊底部出现波动感,在氯胺酮麻醉下切开引流。流出黄色稀薄脓液约30 ml,隔日换药时发现有黄色稀便从切口处排出。以后每天都有气、便排出,伤口内填塞凡士林纱条后阴囊肿胀即加剧。
Children: male, 2 months. Due to the right scrotum swelling gradually heavier, accompanied by fever 40 days admission. 20 days after birth due to crying, fever in the local hospital treatment found that the right side of the scrotal swelling, suspected orchitis given anti-infective treatment. After the scrotal swelling when light weight, sustained fever, body temperature around 38 ℃, normal nurse, defecation normal urination. Physical examination: the general situation is good, obvious swelling of the right side of the scrotum, touching about 6 cm × 4 cm × 4 cm mass, hard texture, tenderness. Line local puncture cytology, reported as inflammatory mass. Continue to anti-inflammatory treatment 1 week after the bottom of the scrotum fluctuations, incision and drainage under ketamine anesthesia. Out of the yellow thin pus about 30 ml, dressing change every other day found yellow loose stool from the incision at discharge. Every day after the gas, it is discharged, the wound packing vaseline scrotum swollen after aggravating.