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例1 于××,男,31岁,农民,住院号110763。因腰痛20天去某医院就诊,查腰1~5椎体左侧压痛,余无阳性体征,Hb70g/L,WBC8.9×10~9/L。经抗风湿治疗无效,4天后双下肢不能活动,大小便潴留。复诊检查,双下肢软瘫,发病30日发现血中有幼稚粒细胞而转我院。查:体温37.8℃,中度贫血貌,神请,被动体位,皮肤粘膜无出血点,浅表淋巴结未及,颈软,胸骨压痛,心肺正常,肝脾肋下未及,双上肢正常,双下肢软瘫,浅感觉自 D_2以下减退,L_1以下消失,病理反射(一)。实验室检查:Hb80g/L,
Example 1 in × ×, male, 31 years old, farmer, hospital number 110763. 20 days due to low back pain to a hospital for treatment, check the waist 1 to 5 vertebra left tenderness, I no positive signs, Hb70g / L, WBC8.9 × 10 ~ 9 / L. Anti-rheumatic therapy invalid, four days after the lower limbs can not activity, retention of urine. Referral examination, double lower extremity soft paralysis, the incidence of 30 found in the blood of naive granulocytes and transferred to our hospital. Check: body temperature 37.8 ℃, moderate anemia appearance, God please, passive position, skin mucosa without bleeding, superficial lymph nodes, neck soft, sternal tenderness, normal heart and lung, liver and spleen ribs, upper and lower extremity normal, double Femoral paralysis of the lower extremities, shallow feeling decreased from below D_2, disappeared below L_1, pathological reflex (A). Laboratory tests: Hb80g / L,