Haemorrhage from base of tongue.
Haemorrhage from base of tongue.
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舌根部出血。
DOI：
10.1136/bmj.3.5568.784
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发表时间：
1967
影响因子：
--
通讯作者：
A. Gandhi
中科院分区：
文献类型：
--
作者：
J. Wetherill;A. Gandhi
患者能够从阴茎的这个孔口产生几毫升的液体。该液体不含任何精子。 Investigations.-Hb 96% ;等效电阻2 mm. in one hour;沃瑟曼反应和卡恩试验阴性； 17-ketosteroids 10.4 mg. in 24 hours;颊涂片未见巴尔小体。 I.V.P.：没有提示尿道前列腺凹陷。心理测量学-明尼苏达州多相人格量表无论是男性还是女性评分都在正常范围内。 The score on the Epstein test was within normal limits. Hle 被诊断患有精神分裂症，其身体状况为隐睾症并伴有严重尿道下裂。这一点后来在手术中得到了证实。他没有接受特殊治疗，但几周后，他在一家工程公司找到了一份工作，并出院，继续工作了 10 个月。在医院期间，他被转诊寻求手术意见，随后进行了一系列手术；首先，修复左侧腹股沟疝气；其次，进行整形手术，使他能够站立小便。自从出院后，他表现出了更加明显的精神分裂症状。他相信他正在与火星上的两个人进行交流，他们正在向他口述一本关于招魂术的书。他与他们的交流有时会被其他“灵魂的声音”打断，这些声音有时会咒骂他或发表侮辱性的言论。他正在进行一场“精神净化”的过程，这需要他尽可能多地洗澡，他大部分的业余时间都在洗澡中度过。除了在精神病学访谈期间，他没有谈论任何这些想法，但很难打断他的想法。到目前为止，他的妄想并未影响他的工作，尽管他的雇主称他行动迟缓且缺乏主动性。他感觉非常好，并且认为没有理由服用任何形式的药物。自从整容手术以来，他的精神状况一直没有改变，但自从他第一次被转介接受手术以来，他的心情一直是温和的兴奋，他很感激手术使他能够站着小便。在入院之前，他从未因这个问题寻求医疗帮助。
penis the patient was able to produce a few millilitres of fluid from this orifice. This fluid did not contain any spermatozoa. Investigations.-Hb 96% ; E.S.R. 2 mm. in one hour; Wassermann reaction and Kahn test negative; 17-ketosteroids 10.4 mg. in 24 hours; buccal smear showed no Barr bodies. I.V.P.: no suggestion of prostatic indentation of urethra. Psychometry.-The Minnesota multiphasic personality inventory scales were within normal limits whether scored as a male or a female. The score on the Epstein test was within normal limits. Hle was diagnosed as having schizophrenia and his physical state as one of cryptorchidism with a gross hypospadias. This was later confirmed at operation. Hewas given no specific treatment, but after a few weeks he found himself a job with an engineering firm and left hospital, remaining in employment for 10 months. While in hospital he was referred for surgical opinion and subsequently had a series of operations ; firstly, for repair of a left inguinal hernia, and, secondly, for a plastic operation to enable him to urinate in a standing position. Since he left hospital he has shown more floridly schizophrenic symptoms. He believes that he is in communication with two people on Mars, and they are dictating a book on spiritualism to him. His communication with them is at times interrupted by other I"spirit voices," which sometimes swear at him or pass insulting remarks. He is undertaking a process of " spiritual cleansing" which requires him to bath as often as possible, and he spends much of his spare time in the bath. He does not speak of any of these ideas other than during psychiatric interview, but then it is difficult to interrupt the flow of his ideas. So far his delusions have not interfered with his work, though his employers describe him as slow and lacking in initiative. He feels extremely well and can see no reason for taking any form of medication. His mental condition has remained unchanged since his plastic operation, but his mood has been one of mild elation since he was first referred for a surgical opinion, and he was grateful for the operation enabling him to urinate standing up. Until his admission he had never sought medical help for this problem.