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１病历简介 患者，女，６３岁，内蒙古牧民。因双下肢行走无力，胸背部疼痛，进行性加重２个月，近１个月不能行走，腹部及肋弓以下皮肤感觉迟钝，大、小便困难来诊。体检：神志清楚，未触及浅表淋巴结，胸背部有广泛压痛，叩击痛，但以第五胸推棘突为明显，双下肢肌张力３级，
1 medical records patient, female, 63 years old, Inner Mongolia herdsman. Due to weakness in walking on both lower extremities, chest and back pain, progressive exacerbations for 2 months, nearly 1 month can not walk, abdominal and rib bowel below the skin feeling sluggish, large, difficult to visit the urine. Physical examination: conscious, did not touch the superficial lymph nodes, chest and back with extensive tenderness, percussion pain, but the fifth thoracic spinous process is obvious, double lower extremity muscle tension 3,