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1 病例报告 男,59岁。主诉发热20天,伴肛门内不适,排尿不畅。在外院以“肛周脓肿”抗炎治疗,不见好转,故来院。查体:T38.9℃、P100/min,BP19.0/10.0kPa,心肺未见异常。肛门局部检查,胸膝位见肛门外观正常,会阴体深压痛,肛诊距肛缘5cm直肠前壁隆起,触痛明显,无明显波动,内口未触及。当即骶麻下穿刺,9号针头会阴部距肛缘1cm进针约5cm抽出2ml脓血,见自尿道口溢出少许脓血。追问病史,慢性前列腺
1 case report male, 59 years old. Chief complaint fever for 20 days, with anal discomfort, poor urination. Outside the hospital to “perianal abscess” anti-inflammatory treatment, did not improve, so to hospital. Physical examination: T38.9 ℃, P100 / min, BP19.0 / 10.0kPa, heart and lung no abnormalities. Anal local examination, chest anastomosis see the normal appearance of the anus, deep perineal body tenderness, anus from the anal verge 5cm rectal anterior wall uplift, tenderness significantly, no significant fluctuations in the mouth did not touch. Immediately punctured sacrococcygeus, needle No. 9 perineum from the anal margin 1cm needle about 5cm out of 2ml purulent blood, see a small amount of sesame oil overflow from the urethra. Asked history, chronic prostate