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患者男,21岁,因排尿困难5年,伴下肢麻木无力及疼痛2周于2014年10月27日收入首都医科大学宣武医院。患者5年前出现排尿困难就诊于当地医院,诊断为“前列腺炎”并予以抗生素等,治疗后症状逐渐加重并出现双下肢麻木无力(右侧为著)。2周前突发后背部剧烈疼痛并向右下肢放射,上述症状迅速进展并出现截瘫。入院时体格检查示:第11胸椎平面以下感觉丧失,双上肢肌力、肌张力Ⅴ级,双下肢
Male, 21 years old, suffering from dysuria for 5 years, numbness and pain in lower limbs 2 weeks On October 27, 2014, he was admitted to Xuanwu Hospital, Capital Medical University. Patients complained of dysuria 5 years ago at a local hospital, diagnosed as “prostatitis” and given antibiotics. After treatment, the symptoms gradually worsen and the numbness of the lower extremities appears. Severe back pain and radiation to the right and lower extremities 2 weeks after the sudden onset of the above symptoms and paraplegia. Physical examination on admission showed: the first 11 thoracic plane below the loss of feeling, double upper limb muscle strength, muscle tone grade Ⅴ, both lower extremities