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病历摘要例1:男,10岁,因发热、腰背疼痛3天,双下肢瘫痪16小时,于1978年6月5日急诊入院。以畏寒发热起病.相继感腰背部剧痛,咳嗽及用力时加剧,次日感阴囊皮肤烧灼样痛,排尿费力,入院前突然双下肢不能活动,以急性脊髓炎入院。检查:体温38.9℃,脉搏86次/分,皮肤无黄染及出血点,颈软,右下腹壁有一脓肿4×5厘米,有波动感,膀胱区膨满,上界脐下4厘米,腰1,2棘突及右侧棘突旁有明显压痛、局部皮肤色泽、温度无改变,双下肢无自动运动,膝、踝反射消失,无椎体束征及布氏征。在第
Case history summary 1: Male, 10 years old, due to fever, low back pain for 3 days, paralysis of both lower limbs 16 hours, on June 5, 1978 emergency admission. The onset of chills and fever, have a sense of back and back pain, cough and forced aggravated the next day scrotal pain scrotal skin irritation, urination laborious, suddenly unable to move both legs before admission to hospital admission of acute myelitis. Check: body temperature 38.9 ℃, pulse 86 beats / min, the skin no yellow dye and bleeding, soft neck, right abdomen abdominal wall abscess 4 × 5 cm, a sense of volatility, swelling of the bladder area, the upper boundary of 4 cm below the navel 1, 2 spinous process and the right side of the spinous process obvious tenderness, local skin color, temperature no change, no automatic movement of both lower extremities, knee, ankle reflex, no vertebral bundle signs and Brinell sign. In the first