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男,2岁半。20天前因面色苍白、浮肿、不规则低热,3天前两下肢软瘫,继现排尿困难而住院。体检:T36℃,营养差,皮肤无出血点,全身浅表淋巴结0.5～1.5cm,质硬无压痛。面部及眼睑浮肿,心肺阴性,肝肋下3.5cm,剑突下4cm,脾肋下1cm,质中等。膀胱区充盈,压迫有少量尿液溢出。脊柱无畸形压病。神经系检查:颈稍强,两下肢弛缓性瘫痪,腹股沟以下皮肤感觉消失,提睾反射存在,其余反射未引出。血RBC 3.67×10~(12)/L,Hb107g/L,WBC24.8×10~9/L,N44%,L50%,尿蛋白++,白细胞少量。入院诊断:(1)急性横贯性脊髓炎,(2)脊髓占位性病变?作脑脊液检查,压力27kPa,细胞数
Male, 2 and a half years old. 20 days ago due to pale, edema, irregular fever, three days ago two lower extremities paralysis, followed by dysuria and hospitalization. Physical examination: T36 ℃, poor nutrition, no bleeding skin, systemic superficial lymph nodes 0.5 ~ 1.5cm, hard and no tenderness. Facial and eyelid edema, cardiopulmonary negative, liver ribs 3.5cm, xiphoid 4cm, spleen ribs 1cm, medium quality. Bladder filling, oppression of a small amount of urine overflow. Spine non-deformity pressure disease. Nervous system examination: slightly stronger neck, two lower limbs flaccid paralysis, the groin below the skin feel disappeared, cremasteric reflex exists, the remaining reflex did not lead. Blood RBC 3.67 × 10-12 / L, Hb107g / L, WBC24.8 × 10 ~ 9/L, N44%, L50%, urinary protein ++, a small amount of leukocytes. Admission diagnosis: (1) acute transverse myelitis, (2) spinal cord lesions for cerebrospinal fluid examination, pressure 27kPa, the number of cells