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患者,男,19岁,1987年2月2日始感左大腿中下段疼痛,外院骨科2次X线摄片提示患肢股骨骨膜反应。随后行骨活检,病理报告为股骨骨质增生,布有较多淋巴细胞。血象:血红蛋白126g/L,白细胞4.2×10~9/L,中性0.60,淋巴0.38,单核0.02,血小板140×10~9/L。初服去痛片、强的松和抗生素可使疼痛减轻,停药不久疼痛又加重,并感双下肢麻木无力,行走困难。继之右7～9肋间呈阵发性烧灼样剧痛,大小便潴留伴有截瘫。于同年5月3日入院。既往健康,无外伤史。体检:体温36.7℃,血压18.66/10.66kPa,神清,皮肤无皮疹及出血点,浅表淋巴结不肿大。颈软.胸骨无压痛.心.脯 肝.脾未见异常.脊柱与
Patients, male, 19 years old, February 2, 1987 Initiation of the left lower thigh pain, outside the hospital orthopedic 2 X-ray showed limb femoral periosteal reaction. Followed by biopsy, the pathological report of femoral bone hyperplasia, cloth more lymphocytes. Blood: hemoglobin 126g / L, white blood cells 4.2 × 10 ~ 9 / L, neutral 0.60, lymphatic 0.38, mononuclear 0.02, platelets 140 × 10 ~ 9 / L. First serve to painkiller tablets, prednisone and antibiotics can reduce pain, pain and aggravated shortly after withdrawal, and sense of weakness in both lower extremities numbness, walking difficulties. Following the right 7 ~ 9 intercostal paroxysmal burning like pain, urine retention associated with paraplegia. In the same year on May 3 admission. Past health, no history of trauma. Physical examination: body temperature 36.7 ℃, blood pressure 18.66 / 10.66kPa, God clear skin rash and bleeding points, superficial lymph nodes is not swollen. Neck soft. Sternal without tenderness. Heart. Preserved liver. Spleen no abnormalities. Spine and