例1,女,27岁,工人。因两上肢麻木40余天,双下肢无力及大小便失禁7天,发热3天,于1988年7月29日入院。查体:消瘦,T39.2℃。下棘突压痛,感觉平面位于T_1,右上肢肌力V级弱,左上肢肌力Ⅳ级;双下肢肌力0级,肌张力低;腹壁反射消失,双上肢肱二头肌反射对称,稍弱,肱三头肌反射减弱,双侧膝腱和跟腱反射均消失;左侧霍纳氏征(十),双侧巴氏征(±);尿潴留。脊椎X线平片未 Example 1, female, 27 years old, worker. Due to two upper limb numbness more than 40 days, both lower extremities weakness and incontinence 7 days, fever 3 days, on July 29, 1988 admission. Physical examination: weight loss, T39.2 ℃. Inferior spinous process tenderness, the feeling of the plane is located in T_1, the right upper limb muscle strength V-class weakness, left upper limb muscle strength Ⅳ; double lower extremity muscle strength 0, low muscle tension; abdominal wall reflex disappeared, double upper biceps reflex symmetry Weak, triceps reflex decreased bilateral knee tendon and Achilles tendon reflex disappeared; left Horner’s sign (ten), bilateral Pakistan’s sign (±); urinary retention. Spine X-ray film is not