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患者男,60岁,因尿痛、尿频、血尿10余年,伴尿滴沥不尽6个月而入院。查体:T37℃,P78次/分,R20次/分,BP120/78mmHg,心肺无异常。腹平软,膀胱区可触及1超男拳大硬块,表面光滑,移动度小,无触痛。肛诊:直肠前可扪及超鹅蛋大硬块,质地坚硬,但直肠粘膜光滑,无脓血。腹部平片符合临床诊断:膀胱巨大结石。在硬膜外麻下,经耻骨上切开膀胱探查:见膀胱内无尿液储存,1枚结石填满整个膀胱,並与膀胱粘膜紧密粘连,部分粘膜嵌入结石表面的微小空隙内,钝
Male patient, 60 years old, because of dysuria, frequent urination, hematuria more than 10 years, with urinary drip leftover 6 months and admitted to hospital. Physical examination: T37 ℃, P78 beats / min, R20 beats / min, BP120 / 78mmHg, no abnormal heart and lung. Abdomen is soft, the bladder area can reach a super male boxer lumps, smooth surface, small mobility, no tenderness. Rectal examination: transrectal palpable super-goose egg lumps, hard texture, but the rectal mucosa smooth, no pus and blood. Abdominal plain film in line with clinical diagnosis: bladder huge stones. In epidural anesthesia, the pubis was cut on the bladder exploration: see the bladder without urine storage, a stone to fill the bladder, and the bladder mucosa closely, part of the mucosa embedded in the tiny surface of the stone, blunt