患者,女,23岁。因双下肢麻木、疼痛两个月,小便失禁,大便秘结1月,于1989年3月21日入院。2个月前感双侧小拇趾及足背外侧麻木,疼痛,渐发展至小腿、大腿后侧及骶尾部,以外侧为甚,行走无力。在当地医院按“风湿热”治疗月余,病情加重。期间经常热水坐治无效,后转入我院。体检:体温:37℃呼吸18次/min,脉搏90次/min,血压16.0/9.3kPa,神志清,贫血貌,全身皮肤无黄染及出血点。左侧大腿内侧约4cm×5cm 肿 Patient, female, 23 years old. Numbness of both lower extremities, pain for two months, urinary incontinence, constipation in January, was admitted on March 21, 1989. Two months ago, both sides of the small toe and dorsal lateral numbness, pain, gradually developed to the lower leg, thigh and sacrococcygeal rear, staggering, walking weakness. In the local hospital by “rheumatic fever” treatment more than a month, the condition worsened. Often hot water sitting rule invalid, then transferred to our hospital. Physical examination: body temperature: 37 ℃ breathing 18 times / min, pulse 90 beats / min, blood pressure 16.0 / 9.3kPa, clear consciousness, anemia appearance, body skin yellow dye and bleeding. Inside the left thigh about 4cm × 5cm swollen