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1 临床资料患者男性,22岁,战士。2005年3月12日在伞降着陆时落在民房后又坠到地面,右足、臀部、右手先后触地。当即感腰部疼痛,活动障碍,伴右腕关节肿胀、畸形、活动障碍;右足肿胀、疼痛,不能站立行走。不伴双下肢麻木、无力。伤后伴有大、小便障碍。查体:一般情况尚可,神志清醒;脊柱腰段明显呈后突畸形;腰2、3、4椎棘突及两侧腰大肌压痛,叩击痛;腰部活动障碍,双下肢直腿抬高试验阴性,加强试验阴性;会阴部及肛门周围感
1 clinical data patients male, 22 years old, soldiers. On March 12, 2005, when the parachute landed, it fell to the ground and fell to the ground. The right foot, buttocks and right hand touched the ground one after another. Immediately feel lumbar pain, mobility disorders, with the right wrist swelling, deformity, mobility disorders; right foot swelling, pain, can not stand walking. Not accompanied by lower limb numbness, weakness. Injury accompanied by large, urinary disorders. Physical examination: the general situation can be, conscious; spine lumbar was significantly kyphosis; lumbar 2,3,4 vertebral spinous process and bilateral psoas muscle tenderness, percussion pain; lumbar dyskinesia, both lower limb straight leg lift High test negative, to strengthen the test negative; perineal and anal periphery