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患者男 5 1/2岁,以双下肢软瘫半月收入院。16日前在体操训练时,作腰背伸后手翻动作过猛跌倒在地,因无其他不适继续训练。半小时后患儿自觉腰髋痛、站立不稳,逐渐发展到双下肢软瘫,大小便失禁。伤后第3d被某医院以截瘫原因待查收住院。入院检查,颈软,双上肢感觉运动正常。脊柱无后突畸形。胸11～12棘突旁有叩压痛。T_(10)平面感觉减退,L_1平面以下感觉消失。双下肢肌力0级,肛门括约肌松弛。X线片示:脊柱骨关节无异常。卧位测脑脊液压力为0.59kPa,脑脊液淡红色,稍混浊,白细胞0.03×10~9/L,蛋白0.65g/L,氯化物104mmol/L,糖3.1mmol/L。发病后第4d作MR检查提示胸腰段脊髓圆锥部分出血水肿。住院后给甘
Male patient 5 1/2 years old, with double lower limbs paralysis half a month income hospital. 16 days ago in the gymnastics training, back stretching for the back turned over and fell to the ground, because no other discomfort to continue training. Half an hour later children with conscious hip pain, standing instability, and gradually developed to double lower extremity soft paralysis, incontinence. The first three days after injury by a hospital paraplegia to be admitted to hospital for investigation. Admission examination, neck soft, upper limbs feel normal exercise. No sudden deformity of the spine. Chest 11 ~ 12 next to the spinous process knocking tenderness. T_ (10) plane decreased sensation, below the L_1 plane disappeared. Lower extremity muscle strength 0, anal sphincter relaxation. X-ray showed: no abnormalities in the spine and bone joints. The cerebrospinal fluid pressure was 0.59kPa in the supine position. The cerebrospinal fluid was reddish and slightly cloudy. The white blood cells were 0.03 × 10 ~ 9 / L, the protein was 0.65g / L, the chloride was 104mmol / L and the sugar was 3.1mmol / L. The first 4 days after the onset of MR examination prompted the thoracolumbar spinal conical hemorrhage and edema. After hospitalized to Gan