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1案例资料1.1简要案情及主要临床经过李某,女,45岁。乘坐电动车被小轿车撞倒摔伤右上肢、腰部2h住入A医院。查体:血压116/70mmHg,右上肢多处压痛,腰部散在性压痛,其他(-)。否认糖尿病、高血压病史。伤后第二天出现大小便失禁,左侧肢体无力,腰臀部疼痛向左小腿、足背部放射,双侧腰肌紧张,L4-5棘突处棘上韧带止点压痛,骶正中嵴背面压痛,左臀部及右下肢沿坐骨神经经行路线压
1 case data 1.1 brief case and the main clinical after Lee, female, 45 years old. Take the electric car was knocked down by the car fell right upper limb, waist 2h admitted to the hospital. Examination: blood pressure 116 / 70mmHg, multiple right upper extremity tenderness, waist scattered tenderness, the other (-). Denied the history of diabetes and hypertension. On the second day after injury, incontinence occurred, the left limb was weak, the waist and hip pain was radiated to the left leg and the back of the foot. The bilateral pia tendons were tight. The supraclavicular ligaments on the L4-5 spinous process were tender and the back of the sacral median crease tenderness , Left buttocks and right lower extremity along the line of sciatic nerve pressure