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患者,男,20岁,未婚。主诉尿痛、尿道脓性分泌物1个月,双侧睾丸肿痛伴发热1周。患者40天前曾有不洁性交1次,10天后每小便时觉刺痛,继而有黄色脓性分泌物流出,并有尿急、尿频、尿痛和夜间阴茎勃起发痛。在本单位医院给予呋喃坦啶及乌洛托品口服,3天后症状减轻,脓性分泌物亦减少。17天后,在手淫时发现精液为血性,晨起后上述症状反复发作加重,同时双侧睾丸肿大疼痛,很难忍受,行走时加剧,伴有下腹部和双腹股沟区疼痛、发热、尿道脓性分泌物增多。体检:体温38℃。尿道红肿,有黄白色粘稠脓性分泌物,阴囊潮红肿胀,扪之灼热,双侧睾丸肿大(左侧约7.8cm×
Patient, male, 20 years old, unmarried. Lord complained of dysuria, urethral purulent secretions 1 month, bilateral testicular swelling and pain with fever for 1 week. Patients had unclean sexual intercourse 40 days ago 1 times, 10 days after each urination felt tingling, followed by yellow purulent discharge, and urgency, frequent urination, dysuria and nighttime penile erection pain. Furan Tanidine and urotropine were given orally in our hospital, and the symptoms were relieved after 3 days and purulent secretions were also reduced. 17 days later, found semen bloody during masturbation, the morning after the onset of symptoms of recurrent exacerbations, and bilateral testicular swelling pain, it is difficult to endure, walking aggravated, accompanied by lower abdomen and double abdomen area pain, fever, urethral pus Increased sexual secretions. Physical examination: body temperature 38 ℃. Urethral swelling, yellow and white sticky purulent secretions, swelling and swelling of the scrotum, palpable hot, bilateral testicular enlargement (left about 7.8cm ×