弗利兰德(Friedlander)氏杆菌败血病是临床上罕见的疾病。国内1951年及1959年各报告本病1例。我院1例脊髓神经纤维瘤术后发生本病,现报告如下: 患者,男,23岁,因大小便失禁于1962年2月5日入院。1959年冬出现尿潴留,一年后变为失禁,肛周麻木,经一般治疗无效。1959年尚因消瘦、潮热而行抗痨治疗,症状好转未愈。 检查:一股情况无特殊,头颈心肺正常,肝脾未扪及。神经系统:骶3、4、5皮节区触、痛、温觉呈鞍状减退,肛门反射消失。膝、跟腱反射卌;膝及踝阵攣卅。阴茎不能勃起,大小便障碍。检验:红细胞308万,血红蛋白8.2克,白细胞5,000,中性69％。脑脊液侧卧压力90毫米水柱,色黄,细胞2/立方毫米,蛋白312.8毫克％,糖及氯化物正常。奎氏试验:不全阻塞。碘油椎管造影:于第3腰椎上缘处受阻。 临床诊断:脊髓马尾部肿瘤。 治疗经过:1962年3月1日在局麻+冬眠强化下行腰1、2髓腔探查术,摘除4×2.5×1.5厘米肿物。病理诊断:神经纤维瘤。手术切口一期愈合。但术后 Friedlander’s bacillus septicemia is a clinically rare disease. Domestic 1951 and 1959 reports of the disease in 1 case. A case of spinal cord neurofibroma in our hospital occurred after the disease, are as follows: The patient, male, 23 years old, was admitted to hospital on February 5, 1962 due to incontinence. 1919 winter urinary retention, a year later became incontinence, perianal numbness, the general treatment is invalid. In 1959 yet because of weight loss, hot flashes and anti-tuberculosis treatment, improvement of symptoms healed. Check: a case of no special head and neck normal heart and lung, liver and spleen not palpable. Nervous system: Sacral 3,4,5 dermal area touch, pain, sadness decreased saddle, anal reflex disappeared. Knee, Achilles tendon reflex 卌; knee and ankle kyphosis. Penis can not be erect, urine disorder. Test: 3.08 million red blood cells, hemoglobin 8.2 grams, 5,000 white blood cells, 69% neutral. CSF pressure 90 mm water column, color yellow, cells 2 / cubic mm, 312.8 mg protein, sugar and chloride normal. Qui-test: incomplete obstruction. Lipiodol spinal angiography: in the third lumbar vertebra blocked. Clinical diagnosis: spinal cauda equine tumor. Treatment after: March 1, 1962 in local anesthesia + hibernation enhanced lumbar 1,2 medullary exploration, removal of 4 × 2.5 × 1.5 cm tumor. Pathological diagnosis: neurofibroma. Surgical incision healed. But after surgery