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患者,男,58岁。1984年2月底不明原因左肩、肘部麻木、疼痛,呈进行性增重。3月初,疼痛呈发作性,发作时肌肉似撕裂样。后疼痛发展到两腕、前胸、后背及左下肢。剧痛每次持续约10分钟,每日发作数次。5月3日双下肢瘫痪。5月14日入我院诊治。检查:体温37.5℃,脉搏、血压正常。巩膜及皮肤无黄染,浅表淋巴结不肿大。心肺正常,肝脾未扪及。双下肢全瘫,四肢躯干痛觉消失或减退,双侧巴氏征(+)。血、粪、尿常规正常,血沉32mm/1小时,80mm/2小时,肝功能、白/球比值、γ-转酞酶、甲胎蛋白、硷磷酶、蛋白电泳、出疑血时间、二氧化碳结合力、血电解质、尿素氮、心电图、
Patient, male, 58 years old. Unexplained numbness and pain in the left shoulder and elbow at the end of February 1984 revealed progressive weight gain. In early March, the pain was paroxysmal, and the muscles appeared to be tear-like. After the pain developed into the two wrists, chest, back and left lower limbs. Acute pain lasts about 10 minutes each time and it attacks several times a day. On May 3, both lower limbs squatted. May 14 to our hospital for treatment. Check: Body temperature 37.5°C, pulse, blood pressure normal. The sclera and skin are yellow-stained and the superficial lymph nodes are not swollen. Normal heart and lung, liver and spleen are not affected. All lower extremities were completely paralyzed, limb pain disappeared or decreased, and bilateral Buffman’s sign (+). Normal blood, feces, and urine normal, ESR 32mm/1 hour, 80mm/2 hours, liver function, white/ball ratio, γ-transferase, alpha fetoprotein, phosphatase, protein electrophoresis, time of suspected blood, carbon dioxide Binding force, blood electrolyte, urea nitrogen, electrocardiogram,