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男性,11岁.因低热2月伴腰背部疼痛进行性加剧,于1989年8月26日入本院骨科.入院前1月曾在某院摄片诊为脊椎结核予抗痨治疗无效.入院后继以抗痨治疗2周后转入本科.体检;T37.7℃,贫血貌,颈旁及两侧腋下可见黄豆大淋巴结,质中,无压痛.心肺听诊正常.腹软,肝肋下1cm,脾肋下未及.脊柱胸腰椎后突畸形,脊椎T_7～L:棘突有压痛,叩痛明显,椎旁未及肿块,局部皮温正常,活动功能障碍,拾物试验(+).神经系统检
Male, aged 11. Due to the low fever in February with the progressive increase of low back pain, entered the Orthopedics Department of Orthopedics on August 26, 1989. In January before admission to hospital for a diagnosis of spinal tuberculosis for anti-tuberculosis treatment invalid. Subsequent to anti-tuberculosis treatment after 2 weeks into the undergraduate. Physical examination; T37.7 ℃, anemia, cervix and both sides of the armpit visible large soybean lymph nodes, quality, no tenderness. Cardiopulmonary auscultation normal. , Splenic ribs under the spine and rib spine thoracolumbar kyphosis deformity, spine T_7 ~ L: spinous process tenderness, percussion pain was obvious paravertebral mass, local skin temperature was normal, functional dysfunction, pick up test (+). System inspection