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患者李××,“男”,21岁,住院号89531。于62年9月17日入院。患者自幼外生殖器发育異常,“阴茎小”,尿道口在阴茎腹側根部;“阴囊”小,无睾丸。16岁时发育特快,18岁后两乳腺发达,喜爱女性,性冲动时,尿道口有时有少量分泌物溢出。9个月前,一度下腹部胀痛,无恶心、呕吐,經服药水而愈。3个月前,痛又发作,并于下腹部出現一鸡蛋大之包块,无压痛,服用中药后好轉,包块稍小,7天前疼痛再次发作,包块增大,左側乳腺胀痛,大小便正常。查体:发育、营养良好,皮肤柔軟細腻,皮下脂肪丰富,語音細,羞怯状,臂部大。两乳腺发育近乎未婚少女。心肺(-)。下腹部有一包块,約8×6×1.5厘米,实体感。外阴界乎男女两性之間,有少許阴毛,呈三角形,阴囊向两側分裂,似大阴唇,內无睾丸組織触及。阴囊前部有一“阴茎”似阴蒂,长約2厘米,直径約1厘米,阴茎腹側根部有一尿道口,无分泌物溢出。手較小,皮細,脂肪多。肛门指診,未触及前列腺。
Patient Lee × ×, “male”, 21 years old, hospital number 89531. On September 17, 62 admission. Patients with genital abnormalities since childhood, “small penis,” the urethra in the penis ventral root; “scrotum” small, no testes. Express development at the age of 16, after the age of 18 developed two breasts, like women, sexual impulses, the urethra sometimes a small amount of secretions overflow. 9 months ago, once the lower abdomen pain, no nausea, vomiting, the more medicine and more. 3 months ago, the pain and attack, and in the lower abdomen appeared a large piece of egg mass, no tenderness, improved after taking traditional Chinese medicine, the lesser mass, 7 days ago the pain attack again, the mass increases, the left breast pain , Normal urine. Physical examination: development, good nutrition, skin soft and delicate, rich in subcutaneous fat, voice thin, shy, big arm. The development of almost two unmarried girls breast. Cardiopulmonary (-). The lower abdomen has a mass of about 8 × 6 × 1.5 cm, solid sense. The vulva border between men and women, a little pubic hair, triangular, scrotum to the sides split, like the labia majora, no testicular tissue within reach. Scrotum in front of a “penis” like the clitoris, about 2 cm in diameter, about 1 cm, the penis ventral root has a urethra, no secretions overflow. Hand smaller, thin skin, fat and more. Anal fingerprinting, did not touch the prostate.