小儿多节段脊柱结核并双下肢不全瘫

来源 :2014结核病诊治新进展学术研讨会 | 被引量 : 0次 | 上传用户:xaolan811
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病例摘要开××,男,11 岁,"发现胸背部后凸畸形6 年,双下肢无力伴行走困难1 个月".有盗汗,乏力.入院查体:营养不良,消瘦,被动卧位.脊柱上胸段成后凸畸形,全胸椎棘突压痛及叩击痛.双侧乳突以上两横指以下皮肤痛触觉减弱.双下肢肌力0~1 级.双下肢肌张力明显增强.双侧膝及跟腱反射亢进,双侧髌阵挛及踝阵挛阳性,双侧Babinskis 阳性.血红细胞沉降率:40 mm/1h.
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