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患者女,11岁8个月,住院号:902563。于1989年8月出现颈痛并活动受限。各项检查中,除血沉增快外,颈椎、胸部、头颅、颅底照片,头颅及颈部CT均未发现异常。经抗痨药物、局部按摩和封闭治疗无效。于1990年4月入院,体检有低热、消瘦、颈部活动明显障碍,仅可转动15°,右颈上部触及如黄豆大淋巴结,鼻咽部未检,其他检查均无异常。后经颈椎X线照片提示第二颈椎下缘骨质欠光整,该椎体前
Patient female, 11 years and 8 months, hospital number: 902563. In August 1989 there was neck pain and limited mobility. In all examinations, except for an increase in ESR, no abnormalities were found in the cervical spine, chest, head, skull base, and head and neck CT. The anti-tuberculosis drugs, local massage and closed treatment are ineffective. Admitted to hospital in April 1990, physical examination has low fever, weight loss, neck movement obvious obstacles, can only be turned 15 °, the upper right hand touching the large lymph nodes such as soybean, nasopharyngeal untested, no other abnormalities. Posterior cervical spine X-ray photographs suggest that the bone of the second lower cervical spine is not well-prepared.