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[病例]患者,男,6岁。因右下肢活动障碍2个月,左下肢活动障碍1个半月入院。该患于入院前3个月开始双下肢疼痛,活动后加剧,有时难忍,不伴关节红肿。近2个月右下肢活动障碍,相隔半个月,左下肢活动也受限,近1个月伴有尿便潴留。病程中不规则发热,体温未测。经常盗汗,腹痛及食欲差,逐渐消瘦。其父母近2年均患过“活动性肺结核”。入院时查体:体温36.9℃,慢性病容,消瘦体质,双面颊发红,颈部可触及黄豆粒大小淋巴结数个,颅神经无异常,项强三横指,心肺未见异常,呈舟状腹,
[Case] Patient, male, 6 years old. Due to the right lower extremity activity disorder 2 months, left lower extremity movement disorders 1 and a half months admitted. The suffering from the hospital 3 months before the start of lower extremity pain, aggravating after activity, and sometimes unbearable, not associated with joint swelling. Right lower extremity activity disorder in the past 2 months, separated by half a month, left lower extremity activity is also limited, nearly 1 month with urinary retention. Irregular fever in the course of the disease, body temperature was not measured. Often night sweats, abdominal pain and poor appetite, and gradually weight loss. His parents had suffered from “active tuberculosis” in the past two years. Admission examination: body temperature 36.9 ℃, chronic disease, weight loss, red cheeks, the neck can reach the number of soybean-sized lymph nodes, cranial nerves without exception, Xiangqiang three horizontal fingers, no abnormal heart and lung, was a boat belly,