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例1.男,49岁。因感冒后出现双下肢麻木,继双下肢运动障碍,尿潴留4天于1989年11月24日入院。查体:T_7以下深浅感觉消失,双下肢肌力Ⅰ级,双侧膝腱反射活跃,胸椎正位像未见异常。腰椎穿刺压力2.45kPa,脑脊液无色透明,压颈试验通畅,脑脊液细胞数12×10~6/L,蛋白0.55g/L,糖3.8mmol/L,临床诊断为急性脊髓炎。第一次鞘内注入地塞米松20mg,术后无不良反应。此后鞘内每隔3天给药1次,剂量为10mg,
Example 1. Male, 49 years old. Due to a cold after the emergence of lower extremity numbness, following double lower extremity dyskinesia, urinary retention for 4 days in November 24, 1989 admission. Physical examination: T_7 following the disappearance of shades, muscle strength of both lower extremities level Ⅰ, bilateral knee tendon reflexes were active, no abnormal thoracic position. Lumbar puncture pressure 2.45kPa, cerebrospinal fluid was colorless and transparent, pressure neck test was smooth, cerebrospinal fluid cell number 12 × 10 ~ 6 / L, protein 0.55g / L, sugar 3.8mmol / L, the clinical diagnosis of acute myelitis. The first intrathecal injection of dexamethasone 20mg, no adverse reactions after surgery. Since then the sheath administered once every 3 days, a dose of 10mg,