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女患,29岁,农民。尿频、左肾区疼痛、畏寒高热1周,于92年8月24日入本院泌尿外科,B超示右肾周脓肿,行穿刺引流术。2日后双下肢瘫痪,腰部束带感,尿潴留,转我科。检查:神清,T39.2℃,颅神经无异常,颈轻度抵抗,双下肢近端肌力Ⅰ级,远端肌力Ⅱ端,肌张力低,膝踝反射消失。T_(10)平面以下痛觉减退,触觉消失。双侧Babinski征(+)。胸8、9椎体右旁叩痛。脑脊液压力2.55kPa,浑浊,白细胞1800×10~6/L,糖0.85mmol/L,蛋白3g/L,氯化物102.5mmol/L。压颈试验椎管内有梗阻。血白细胞11.8×10~9/L,中性0.81。尿白细胞(+)。CT查胸椎及椎管内软组织结构无明显异常。第6日B超示双
Female, 29 years old, farmer. Urinary frequency, left kidney area pain, chills and fever for 1 week, on August 24, 92 into our hospital urology, B ultrasound showed right kidney abscess, line puncture and drainage. 2 days after the lower limb paralysis, waist bandage, urinary retention, turn my department. Check: God clear, T39.2 ℃, no abnormal cranial nerves, neck mild resistance, proximal lower extremity muscle strength Ⅰ, distal muscle Ⅱ end, low muscle tension, knee ankle reflex disappears. T_ (10) below the level of pain decreased, tactile disappear. Bilateral Babinski sign (+). Chest 8,9 vertebral right knocking pain. Cerebrospinal fluid pressure 2.55kPa, turbidity, white blood cells 1800 × 10 ~ 6 / L, sugar 0.85mmol / L, protein 3g / L, chloride 102.5mmol / L. Pressure neck test spinal canal obstruction. Blood leukocytes 11.8 × 10 ~ 9 / L, neutral 0.81. Urine white blood cells (+). CT examination of the thoracic vertebral and soft tissue structures without obvious abnormalities. On the 6th B-show double