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例1,患者男,17岁。剧烈活动时突然感左侧阴囊内疼痛并向下腹及左腹股沟区放射,进行性加重,恶心但未吐,旋即阴囊肿胀,一小时后疼痛稍有好转,肿胀继续加重,次日如拳头大,无发热,小便频但无尿痛,当地医院以“急性睾丸炎”肌注庆大霉素,口服甲硝唑,阴囊吊高,一周后疼痛基本缓解,阴囊肿胀无明显缩小,触压痛敏感遂来院门诊。检查:阴茎及右侧睾丸附睾正常。左侧阴囊上缩呈球形如鸭蛋大,睾丸呈横位,质较硬压痛,附睾不大。白细胞总数11×10~9/L,中性0.
Example 1, male patient, 17 years old. Severe activities suddenly felt the left scrotum pain and lower abdomen and left groin area radiation, progressive increase in nausea but not vomiting, swollen scrotal immediately, an hour after the pain a little better, swelling continued to increase the next day as a fist, No fever, frequent urination but no dysuria, the local hospital to “acute orchitis” intramuscular gentamicin, oral metronidazole, scrotal hanging, a week after the basic relief of pain, scrotum no significant reduction in swelling, tenderness and pain sensitivity To the hospital clinic. Check: the penis and right testis epididymis normal. On the left scrotum shrink spherical, such as duck, testis was transverse, qualitative hard tenderness, epididymal not. The total number of white blood cells 11 × 10 ~ 9 / L, neutral 0.