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患女,55岁,势感右腰酸痛,2h后腹、臀部亦剧烈疼痛,3h后右下肢瘫痪,6h后左下肢瘫痪,左腰腹剧烈疼痛.放散至左臀部及左下肢,双膝关节内上侧局部麻木大小便困难。查体:T37.8℃,BP26/12kPa,神志清,语言清晰,颅神经检查正常。颈软,上肢活动自如。心、肺未见异常。T6～10痛觉过敏,T_(10)至双膝关节痛温觉减退,触觉存在,肛门反射消失,尿潴留。右下肢肌力Ⅰ级,左下肢肌力Ⅱ级,膝腱反射亢进,双侧查多克征阳性,血常规:WBC12.4×10~9/L,N0.72;尿常规、血尿酸正常;腹部平片及泌尿系超声检查未见结石;腰穿示脑脊液清亮、透明、无凝块,细胞及生化检查正常;压力2.28kPa,奎肯斯提特试验阴性;
Affected women, 55 years old, the potential right back pain, 2 h after the abdomen, buttocks also severe pain, paralysis of the right lower limb after 3h, 6h after the left lower limb paralysis, left abdomen severe pain. The upper side of the local numbness and urine problems. Physical examination: T37.8 ℃, BP26 / 12kPa, clear mind, clear language, cranial nerve examination was normal. Soft neck, upper body movements freely. Heart, lung no abnormalities. T6 ~ 10 hyperalgesia, T_ (10) to the knee joint pain, hypothermia, tactile presence, anal reflex disappeared, urinary retention. Right lower extremity muscular strength grade Ⅰ, left lower extremity muscular strength grade Ⅱ, knee tendon hyperreflexia, bilateral Chadwick sign positive, blood: WBC12.4 × 10 ~ 9 / L, N0.72; urine, normal uric acid ; Abdominal plain film and urinary tract ultrasound showed no stones; lumbar showed cerebrospinal fluid clear, transparent, non-clot, cells and biochemical tests were normal; pressure 2.28kPa, Kuankenstet test negative;