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患者,男性,52岁。无明显诱因出现胸背部疼痛2月,夜间疼痛明显。疼痛加剧伴双下肢无力,行走不便1月而入院。体检:全身表浅淋巴结未扪及,肝脾不大。脊柱生理曲度存在,胸9~10棘突压痛明显,叩击痛阳性,无放射痛。脐平面下痛觉减退,双下肢肌张力Ⅲ+级,伴肌肉轻度萎缩,右侧巴宾氏征
Patient, male, 52 years old. There is no obvious incentive chest and back pain in February, night pain was obvious. Exacerbation of pain accompanied by weakness in both lower extremities, walking inconvenience January admission. Physical examination: systemic superficial lymph nodes not palpable, hepatosplenism is not. Spinal physiological curvature exists, chest 9 ~ 10 spinous process tenderness significantly, percussion pain positive, no radiating pain. Under the umbilical plane pain decreased, lower extremity muscle tension Ⅲ + level, with mild muscle atrophy, the right side of the Babin’s sign