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患者,男,9岁,患儿自出生后即有排尿困难,不能成线,逐年发展成经常性膀胱胀满,滴尿不停。1982年12月7日住院。检查:一般情况差,仅相当于4岁发育水平,膀胱极度膨胀,用力排尿时,顶部正中及稍偏左处各有一大约5×5cm隆起包块,停用腹压后包块自行消失。残余尿在耻上3横指,无明显压痛,右肾触及,囊性,无压痛及叩痛,左肾未触及。尿:镜检脓球((?)),培养出大肠杆菌。CO_2-CP22vol%,BUN48mg%,Cr2.1mg%,血象正常。顺行膀胱尿
Patients, male, 9 years old, children with dysuria after birth, can not be a line, year by year developed into regular bladder fullness, drip non-stop. December 7, 1982 hospitalization. Check: The general situation is poor, only the equivalent of 4-year-old developmental level, extreme swelling of the bladder, forced urination, the top of the middle and slightly left at about 5 × 5cm uplift mass, disable abdominal mass disappeared after the mass. Residual urine in shame 3 horizontal, no significant tenderness, right kidney touched, cystic, no tenderness and percussion pain, left kidney not touched. Urine: Microscopy pus ball ((?)), To develop E. coli. CO_2-CP22vol%, BUN48mg%, Cr2.1mg%, normal blood. Straight bladder bladder