1病例报告患者男,54岁。主因咳嗽、咳痰带血2个月,胸腹以下感觉减退18h,加重伴双下肢无力7h入院。患者2个月前无明显诱因出现咳嗽、咳痰及咯血,每次约10ml,劳累后明显,无胸闷、气短,声音嘶哑,当地医院诊断为支气管炎,给予抗感染治疗,未见明显好转。约1个月后出现腹胀、食欲减退、乏力。之后15天出现胸腹部以下感觉麻木,次日胸腹部麻木加重,且出现双下肢无力、无法行走,无大小便障碍,以“急性脊髓炎”收入我科。入院6h后,右下肢无力明显加重,并出现小便费力、无大便等 A case report male patient, 54 years old. The main cause of cough, sputum bloody 2 months, the following feeling of chest and abdomen decreased 18h, aggravated with weakness in lower limbs 7h admission. Patients 2 months ago no obvious incentive cough, sputum and hemoptysis, each about 10ml, tired after obvious, no chest tightness, shortness of breath, hoarseness, local hospital diagnosis of bronchitis, given anti-infective treatment, no significant improvement. About 1 month after bloating, loss of appetite, fatigue. 15 days after the emergence of chest and abdomen, the following feeling numbness, chest and abdomen numbness the next day, and there is weakness in both lower extremities, unable to walk, no urinary incontinence to “acute myelitis ” income in our department. 6h after admission, the right lower extremity weakness significantly increased, and urination effortless, no stool