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患者男性,13岁.因骶尾部及右下肢疼痛1周,双下肢活动障碍伴排尿困难1天于1986年12月2日入院.入院前曾在单位医务所诊断为“坐骨神经痛”予以对症治疗.查体:T37.5℃,P107次/分.神清,被动体位.皮肤无瘀点瘀斑.浅表淋巴结无肿大.颈无抵抗,胸式呼吸存在,胸骨压痛(+),心肺无殊.腹软,肝未及,脾肋下1.5cm,质中,无触痛.胸椎_(9～10)压痛(+).胸椎_8平面以下深浅感觉消失,双下肢驰缓性瘫,脑膜刺激症及锥体束征
The patient, male, was 13 years old and had pain in the sacrococcygeal and right lower limbs for 1 week. Both lower extremity motility disorders associated with dysuria were admitted to hospital on December 2, 1986. Prior to admission, he was diagnosed with “sciatica” Symptomatic treatment. Physical examination: T37.5 ℃, P107 times / min. God clear, passive position. Skin petechia ecchymosis. Superficial lymph nodes without swelling. Neck non-resistance, thoracic respiration, , No cardiopulmonary. Abdominal soft, liver and spleen ribs 1.5cm, quality, no tenderness. Thoracic _ (9 ~ 10) tenderness (+). Thoracic _8 plane below the depth of feeling disappeared, both lower extremity Chi Bu Paralysis, meningeal irritation and pyramidal tract signs