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病史摘要 男,13岁。因胸痛3个月、双下肢麻木无力20天就诊。3个月前无诱因出现胸痛,呈持续性钝痛,间有阵发性刺痛。无咳嗽、发热,口服止痛片无效,在当地行肋间神经封闭后减轻。1个月前行走时跌倒,此后胸痛又加重,20天前开始双下肢麻木,渐由大腿向足部发展,伴下肢无力,呈进行性加重,近10天已不能独立行走。无呕吐、头痛、昏迷、抽搐和大小便失禁。自发病以来经常便秘,但无发作性无力史。出生于本地,无外地久居史。既往
Summary of medical history Male, 13 years old. 3 months due to chest pain, numbness of lower extremity 20 days treatment. 3 months ago, there was no incentive chest pain, persistent dull pain, intermittent stinging. No cough, fever, oral painkillers invalid, in the local intercostal nerve closed after mitigation. 1 month ago when walking fall, then chest pain and aggravate, 20 days ago began numbness of both lower extremities, gradually from the thigh to the foot, accompanied by weakness in the lower extremities, was progressive increase in the past 10 days has been unable to walk independently. No vomiting, headache, coma, convulsions and incontinence. Since the onset of frequent constipation, but no history of episodes of weakness. Born in local history without history. Past