恶性淋巴瘤因受累部位不同可出现复杂多样的临床症状,但以脊髓压迫症为首发表现者较为少见,现将本院1例报告如下。患者男性,31岁。入院前3周劳动时不见左腰部被粗大木头撞击,局部剧烈疼痛,数小时后疼痛消失,继续工作。3周后又出现腰痛,且逐日加重。1988年5月30日以肾损伤收入外科。体检:浅表淋巴结无肿大,左侧肾区轻度叩击瘤,神经反射无殊。入院后渐感下肢无力,皮肤麻木,左侧肋间神经痛。3天后突然出现大便闭结、尿潴留、截瘫,高热(体温38～39,5℃)。实验室检查:尿常规(-),肾功能正常。腰穿脑脊液微红,压力11.27 KPa, Malignant lymphoma due to different parts of the complex and diverse clinical symptoms can occur, but the first manifestation of spinal cord compression is rare, now one of our hospital reported as follows. Patient male, 31 years old. 3 weeks before admission, when I was in labor, I noticed that the left lumbar part was hit by rough wood and the local pain was severe. The pain disappeared after a few hours and continued to work. Back pain appeared after 3 weeks, and increased day by day. May 30, 1988 with kidney damage income surgery. Physical examination: superficial lymph nodes without swelling, the left kidney area light tapping tumor, nerve reflex no special. Feeling gradually lower limb weakness after admission, skin numbness, left intercostal neuralgia. 3 days after the sudden stool closed, urinary retention, paraplegia, high fever (body temperature 38-39,5 ℃). Laboratory tests: Urine routine (-), normal renal function. Waist wear cerebrospinal fluid reddish, pressure 11.27 KPa,