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1 病例45岁,出进行性排尿困难8月,尿潴留12h,于 1991年 4月 11日入院。8月前出现尿频、尿急、排尿困难,先后在两个医院经前列腺穿刺活检,诊断为“前列腺平滑肌肉瘤”,未治疗。此后排尿困难日趋加重并有尿潴留,近日出现排便困难。查体:营养中等,痛苦表情,全身浅表淋巴结未触及,头颅心肺无异常,下腹膀胱区胀满,叩浊,会阴部可见-4.0 cm×5.0 cm大小隆起,外生殖器正常。肛门
1 case 45 years old, out of progressive dysuria in August, urinary retention 12h, admitted to hospital on April 11, 1991. 8 months ago, frequent urination, urgency, dysuria, prostate biopsy has been in two hospitals, diagnosed as “prostatic leiomyosarcoma”, untreated. Since then dysuria increasingly severe and there is urinary retention, defecation difficulties have appeared recently. Examination: moderate nutrition, facial expressions, superficial lymph nodes without touching the body, head and heart no abnormal lungs, lower abdomen bladder area full, knock turbidity, perineal visible -4.0 cm × 5.0 cm size uplift, external genitalia normal. anus