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published in(发表于) 2016/5/7 5:51:49
After the boys playing basketball “the egg“ cramps: simmered for 13 hours of losing a testicle,

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After the boys playing basketball "the egg" cramps: simmered for 13 hours of losing a testicle-testicular, bio-IT news

Boys play basketball after supper, was down a sharp pain woke up early this morning, involving 13 hours later arrived at the hospital, doctors discovered two "balls" all reverse necrosis, deplored throughout the day you have to remove.

20 year old fan in Wuchang, a college freshman. On Friday, he and a few students played a basketball game. To sleep at night, "balls" as if the cramp pain. Fan movement thought it was too tired to get up after eating strong painkillers to sleep. Until 2 o'clock in the afternoon the next day, pain worsened, and he arrived at the people's Hospital of Wuhan University Urology Clinic. Examination revealed that he had bilateral testicular torsion 180 degrees, because the delay was too long, had necrosis, but total removal.

"Two eggs were cut, boys lost their fertility, it's really heartbreaking. "Admissions doctors fan says, if in less than 6 hours to the hospital, the doctor may be able to have a way. Fan introduces testes each has a spermatic and testicular blood supply. After strenuous exercise or cold, Helix attached to the spermatic Cremaster spasmodic contraction, spermatic cord can go shake it like a rope, and blood are not smooth, time testicles "dies".

Tall, thin boy, spermatic cord is longer than the average person, relatively speaking, easier to spin around. He warned that after testicular torsion, with only 6 hours of Golden rescue time. The longer you drag, the less.

Fan said that after testicular torsion will issue a "pain" signal. He warned that boys night or the middle of sudden scrotal pain, should hold up the scrotum with your hands, try to gently spin clockwise or counterclockwise rubbing and pain the direction of rotation is correct. If after 10 minutes the pain is not easing, even if it is late at night, you should immediately go to the hospital.

IT news reminder:

Also called testicular torsion of testicular torsion, when the scrotum is due to strenuous exercise or violence injuries, spirally strongly attached to the spermatic Cremaster muscle contraction, resulting in reverse and cause testicular acute disturbance of blood circulation. Testicular torsion is very common, and all ages can happen, 1 hour testicular ischemia damage reversible ischemia 5 hours, most of the testicle can be saved; more than 8 hours, avoid the emergence of a testis if more than 24 hours, the risk of testicular functions may be lost forever. In addition to sports, sleep at night or in the early morning, prone to testicular torsion. Testicular torsion the early manual reduction available. However, after reduction of the testicles has not been fixed, still have the potential to reverse again, and manipulative reduction was difficult to judge the testicular ischemia, it is recommended that the best time to go to hospital for treatment.

Testicular torsion can affect fertility in the future, the key lies in testicular torsion surgery time after. In General, faster after surgery to lift torsion of testicular torsion, the better. 3-4 hours after testicular torsion, testis and spermatic cord reset surgically restore testicular blood supply, most of the testes can maintain normal function, does not affect fertility. However, if the delay time, testicular necrosis due to ischemia, even with surgery, it's hard to make testicles return to normal function.


男生打篮球后“蛋蛋”抽筋:强忍13小时痛失睾丸 - 睾丸,生理 - IT资讯

男生晚饭后打了场篮球,凌晨却被下身一阵疼痛惊醒,忍痛13个小时后赶到医院,医生发现两颗“蛋蛋”全都扭转坏死,痛惜之余不得不摘除。

20岁的张凡在武昌一高校读大一。上周五,他和几个同学打了一场篮球赛。晚上睡觉时,“蛋蛋”就好像抽筋了一样疼。张凡以为是运动太累了,爬起来吃了止痛片后继续睡。直到第二天下午2点,蛋疼越来越厉害,他才赶到武汉大学人民医院泌尿外科就诊。检查发现,他双侧睾丸都扭转了180度,由于耽搁时间太长,已经坏死,只能全部切除。

“两个蛋蛋都切了,男孩彻底失去了生育能力,实在太让人痛心了。”接诊医生程帆教授说,如果能在6个小时之内到医院来,医生或许还能有办法。程帆介绍,睾丸左右各有一条精索,为睾丸供血。剧烈运动或是受凉后,螺旋状附着于精索上提睾肌会痉挛收缩,精索就会像麻绳样转扭起来,供血不通畅,时间一长睾丸就“蔫”了。

瘦高个的男孩,精索比一般人要长,相对来说更容易打转绕圈。他告诫说,睾丸扭转发生之后,只有6小时的黄金抢救时间。拖的时间越长,越不保。

程帆说,睾丸扭转后会发出“疼痛”的信号。他提醒说,男孩子晚上或是半夜突然阴囊疼痛,应该马上用手托起阴囊,试着顺时针或逆时针轻轻旋揉,疼痛减轻说明旋转的方向是正确的。如果10分钟后疼痛仍不缓解,即使是大半夜,也应该马上赶去医院。

IT资讯提醒:

睾丸扭转又称精索扭转,是由于剧烈运动或暴力损伤阴囊时,螺旋状附着于精索上提睾肌强烈收缩,导致扭转并引起睾丸急性血液循环障碍。睾丸扭转是很常见的,而且各个年龄段均可发生,睾丸缺血1小时,损害可逆;缺血5小时,大部分睾丸尚可挽救;8小时以上,出现不可避免的睾丸坏死;如超过24小时,患侧睾丸的功能可能会永远失去。除了运动,夜间睡眠中或凌晨等易发生睾丸扭转。睾丸扭转早期,可用手法复位。但由于手法复位后的睾丸未得到固定,仍有再次扭转的可能,而且手法复位难以判断睾丸的缺血情况,所以建议最好能及时去医院检查诊治。

睾丸扭转会不会影响将来生育,关键在于睾丸扭转后的施术时间。一般来说,睾丸扭转后越快手术解除扭转,效果越好。睾丸扭转后3~4小时以内,通过手术将睾丸与精索复位,恢复睾丸的血液供应,大多数睾丸都能保持正常的功能,不影响生育。但是,若延误了手术时间,睾丸会因缺血而造成坏死,即使做了手术,也很难使睾丸恢复正常功能。






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