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患者,女,36岁,因左侧胸痛7天,双下肢活动不灵伴二便费力1天入院。病人自7天前始感左胸背疼呈烧灼样,深呼吸或衣物磨擦时更甚,2天后,于疼处出现数簇疱疹,近1天来,病人逐渐出现双下肢无力,以致不能行走,伴尿便费力。半年前曾因左腹部“带状疱疹”后出现双下肢瘫痪诊为“脊髓炎”治疗两个月,痊愈出院。查体,T:36.3℃,P:80次/分,R:20次/分,BP:14/9.3kPa,左胸沿第六肋间有三簇疱疹,心、肺(-),左腹部有两处褐色素沉着(疱疹后遗留)。神经系统:
Patients, female, 36 years old, because of left chest pain for 7 days, both lower extremity activity is not accompanied by two inconvenient 1 day admission. Patients began to feel left chest and back pain burning since 7 days ago, deep breathing or clothing friction even more, 2 days after the emergence of several herpes at the pain, the past 1 days, the patient gradually weakness in both lower extremities that can not walk, With urine strenuously. Half a year ago for the left abdomen “shingles” appeared after the lower limb paralysis diagnosed as “myelitis” for two months, discharged. Check the body, T: 36.3 ℃, P: 80 beats / min, R: 20 beats / min, BP: 14 / 9.3kPa, the left chest along the sixth intercostal herpes of three herpes, heart, lung Two brown pigmentation (left after herpes). nervous system: