论文部分内容阅读
患者男性,25岁,干部。于1989年10月23日入本院消化内科。患者于入院前一年出现阵发性、针刺样上腹部疼痛。疼痛与体位有关,侧卧位减轻,仰卧位加重。先后在当地医院诊断“腹直肌腱鞘炎”、“胃炎”等。我院胃镜检查诊断“慢性胃炎”。在内科住院中突然出现双下肢无力,不能站立。T_7以下痛觉丧失,大、小便潴留。查体:神清语明,颅神经(一)右下肢肌力Ⅳ级,左下肢肌力Ⅲ级,肌张力增强。双膝腱反射活跃,双踝阵挛阳性,腹壁反射及提睾反射消失,双巴彬斯基氏征阳性。T_7以下痛觉减退,深感觉存在,有尿潴留。
Male patient, 25 years old, cadre. On October 23, 1989 into the hospital digestive medicine. One year before admission, patients had paroxysmal acupuncture-like abdominal pain. Pain and body position, lateral reduction, increased supine position. Has diagnosed in the local hospital “rectus tenosynovitis”, “gastritis” and so on. Gastroscopy in our hospital diagnosis of “chronic gastritis.” Suddenly appeared in lower limbs in hospital medicine weakness, can not stand. T_7 the following pain loss, large, urine retention. Physical examination: clear statement, cranial nerve (a) lower right leg muscle strength Ⅳ, left lower extremity muscle strength Ⅲ grade, muscle tone increased. Double knee tendon reflexes were positive, double ankle clonus positive, abdominal reflex and cremasteric reflex disappeared, double Babinski’s sign positive. T_7 the following pain hypoglycemia, deep feeling exists, there is urinary retention.