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病人男 22岁于入院前1月在当地诊为结核性胸膜炎住院好转,出院后未继续用药。入院前半月,感腰痛、双腿麻木不能行走,大小便潴留,转入我院。检查:T36.8℃ P80 R20 BP13.3/8kPa。神清、颈强,左侧第12胸椎及右侧第2腰椎平面以下感觉减退及消失。左下肢肌力1～2级。右下肢肌力零级,双膝腱反射消失,克氏征、布氏征、巴彬斯基征(+)。化验:WBC10×10~9/L N 0.89 L 0.09 E 0.02,ESR 55mm/1h。痰涂片3次抗酸杆菌(—)。胸片示右上肺结核伴左少量
Male patients aged 22 years before admission in January in the local diagnosis of tuberculous pleurisy hospital improved, did not continue after discharge of medication. Half a month before admission, a sense of low back pain, numbness legs can not walk, retention of urine, transferred to our hospital. Check: T36.8 ℃ P80 R20 BP13.3 / 8kPa. Shen Qing, neck strong, left thoracic and right side of the first 2 lumbar plane below the feeling of loss and disappear. Left lower limb muscle strength 1 ~ 2 level. Right lower extremity muscle strength zero, double tendon reflex, Kirschner Sign, Brinell sign, Babinski sign (+). Assay: WBC 10 × 10 ~ 9 / L N 0.89 L 0.09 E 0.02, ESR 55mm / 1h. Sputum smear 3 acid-fast bacilli (-). Chest radiograph showed right upper pulmonary tuberculosis with left lesser amount