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1案例资料1.1简要案情及临床经过徐某,女,47岁。2012年11月27日驾驶电动三轮车与一辆小型轿车发生碰撞后摔倒,头颈部着地,感觉头晕、颈部疼痛,伴左手麻木、活动受限,即送医院就诊。既往无手术外伤史。查体:颈短,颈项部压痛,纵向叩击痛;左上肢肌力IV级,右上肢肌力V级,双下肢肌力V级;左手握力减退,左手指感觉减退,四肢病理征(-)。X线、CT及MRI检查结果:寰枕
1 case data 1.1 brief case and clinical after Xu, female, 47 years old. November 27, 2012 Driving an electric tricycle collided with a small car and fell over with head and neck touching. It felt dizzy and had painful neck and numbness in the left hand. Activities were limited and hospitalized. No previous history of surgical trauma. Physical examination: neck short, neck tenderness, longitudinal percussion pain; left upper limb muscle strength IV, right upper limb muscle strength V-class, lower limb muscle strength V-class; left hand grip diminished, left finger sensory decline, ). X-ray, CT and MRI examination results: atlanto-occipital