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患者男,60岁,驾驶员。因右下肢酸胀,麻木,疼痛6~+月于1993年6月23日入院。患者有糖尿病史2~+年一直服消渴丸、D860及中药,病情基本控制(尿糖(+)～(一)。一年前曾患左下肢疼痛不适,经中医治疗后好转。6~+月前始患者右下肢酸胀、麻木、疼痛,再次中医治疗病情无缓解。且逐渐加重、跛行,甚至难以入睡。既往体健,无外伤、手术史,不嗜烟酒。体检:T36.7℃,R18次/分,P70次/分,BP16.6/9.5kPa;发育营养中等,右侧跛行,表情痛苦,皮肢粘膜无黄染、皮疹,浅表淋巴结不肿大、五宫、心、肺、腹(一)脊柱、双上肢无异常,双下肢肌肉无萎缩,无红肿,溃烂及静脉恕张,右下肢活动稍受限,跟腱反射、膝反射右侧消失,左侧减弱、位置觉、触觉、温度觉双侧均减弱,未引出病理反射征。化验:血红旦白100g/L,白
Patient male, 60 years old, pilot. Due to the right lower limb soreness, numbness, pain 6 ~ + month in June 23, 1993 admission. Patients with history of diabetes 2 ~ + years has been taking Xiaoke Pill, D860 and Chinese medicine, the basic condition control (urine sugar (+) ~ (A). A year ago suffered from lower extremity pain discomfort, after the improvement of traditional Chinese medicine .6 ~ Patients with right lower extremity soreness, numbness and pain before month, and no remission of Chinese medicine treatment. And gradually aggravated, limp, or even difficult to fall asleep. Past physical health, no trauma, history of surgery, indulge in alcohol and tobacco. 7 ℃, R18 beats / min, P70 beats / min, BP16.6 / 9.5kPa; moderate development of nutrition, the right side of the lame, facial pain, skin limb mucosa no yellow dye, rash, superficial lymph nodes, Heart, lungs, abdomen (a) spine, both upper extremities no abnormalities, no contraction of both lower extremity muscles, no swelling, ulceration and venous distress, right lower extremity activity limited, Achilles tendon reflex, knee reflex right disappear, left attenuate , The position of feeling, touch, temperature both sides weakened, did not lead to pathological reflex syndrome.Chemical test: blood red white 100g / L, white