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患者,男,46岁。因“左侧腹股沟区可复性包块4年余”入院。患者于4年前无明显诱因发现左侧腹股沟有一包块,初为拇指大小,多于咳嗽、站立时出现,平卧或者用手推可以还纳,局部无红肿及疼痛。起病后未曾行特殊诊治,包块渐进性增大,故来我院就诊。既往身体健康。入院查体:体温36.6℃,脉搏80次·min-1,呼吸21次·min-1,血压110/70 mmHg。专科查体:患者站立时左侧腹股沟区见一包块,约6.0 cm×5.0 cm大小,未坠入阴囊,可还纳;按压内环口,咳嗽
Patient, male, 46 years old. Because “left inguinal region refolding mass 4 years ” admission. Patients with no obvious incentive 4 years ago found a mass of the inguinal groin, the beginning of the thumb size, more than cough, standing up, lying or hand can also be satisfied, no local swelling and pain. No special diagnosis and treatment after the onset of disease, mass gradually increased, it came to our hospital. In the past, good health. Admission examination: body temperature 36.6 ℃, pulse 80 times min-1, breathing 21 times min-1, blood pressure 110/70 mmHg. Specialist examination: the patient standing on the left groin area to see a mass of about 6.0 cm × 5.0 cm size, did not fall into the scrotum can be satisfied; press the inner ring mouth, cough