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病例男婴,32天。生后即双下肢弛缓性瘫痪。因持续发烧两天入院。查体:外表无畸形,右上腹部触及5×3cm界限不清,表面光滑质硬的肿物。右背部在10～12胸椎高度处膨出,两上肢运动正常,两下肢呈弛缓性瘫痪,脐以下痛觉消失。膝腱、跟腱、提睾反射及下腹壁反射消失,肛门松弛,压迫腹部可排便。实验室检查:周围血白细胞23×10~9/L,血沉78mm/小时,CRP强阳性,尿镜检见多数白细胞,尿培养肺炎杆菌生长,血LDH1070u,连续3天尿香
Case baby boy, 32 days. After birth, both lower extremity flaccid paralysis. Two days due to persistent fever admitted to hospital. Physical examination: appearance without deformity, upper right abdomen touched 5 × 3cm clear boundaries, smooth and hard surface mass. Right back in the 10 to 12 thoracic height bulge, two upper extremities normal, flaccid paralysis of both legs, below the umbilical pain disappeared. Knee tendon, Achilles tendon, cremasteric reflex and the disappearance of the lower abdominal reflex, anal relaxation, abdominal pressure can defecate. Laboratory tests: Peripheral blood leukocytes 23 × 10 ~ 9 / L, erythrocyte sedimentation rate 78mm / hour, CRP strongly positive, urine leukocyte count, leukemia growth of Klebsiella pneumoniae, blood LDH1070u, urine for 3 days