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患儿,男,8岁。右阴囊包块3个月。2天前于某医院诊断为右睾丸鞘膜积液,给穿刺抽出15ml淡黄色液体后鞘膜内注入10ml0.5g)四环素溶液。注药后患侧阴囊内轻度疼痛,1天前右阴囊内疼痛加重,阴囊明显肿胀。体检:T37.5℃,右阴囊肿胀,阴囊内可及2×1.5×1.5cm质硬睾丸,触痛明显,附睾位于睾丸前方,左精索增粗。左阴囊正常,其内可及1.2×1.0×1.0cm大小质软睾丸,无触压痛,附睾位于睾丸后方。化验检查:血WBC13.8×10~9。/L,N67％,L34％,M2％,诊断:右睾丸扭转。急症于全麻下取高位阴囊切口手术探查切开睾丸鞘膜,见鞘膜腔较大,其内有血性渗液,睾丸
Children, male, 8 years old. Right scrotum mass 3 months. 2 days ago in a hospital diagnosed as right testicular hydrocele, puncture out 15ml pale yellow liquid into the sheath after injection of 10ml0.5g) tetracycline solution. After injection of ipsilateral scrotum within the mild pain, 1 day ago, the pain within the right scrotum, scrotum was significantly swollen. Physical examination: T37.5 ℃, right scrotum swelling, scrotum and 2 × 1.5 × 1.5cm hard testicular hard, obvious tenderness, epididymis in the front of the testis, left spermatic cord thickening. Left scrotum normal, which can be 1.2 × 1.0 × 1.0cm within the size of soft testis, no tenderness, epididymis located in the testicular rear. Laboratory tests: blood WBC13.8 × 10 ~ 9. / L, N67%, L34%, M2%, diagnosis: right testicular torsion. Emergency under general anesthesia to take high scrotum incision surgery to open the testis sheath, see the larger sheath, which has bloody exudate, testis