患者女,26岁,已婚。于1982年12月2日凌晨4时睡眠中突感腰部剧烈疼痛难忍。去厕所小便无缓解,来院急诊。病前3天,曾感腰酸,但未介意,来院后考虑为泌尿系结石,嘱化验小便。蹲下小便突感双下肢麻木倒地,被扶回急诊室,此时双下肢仅能在床上微动,感腰腿部麻木,似绳索捆绑样难受,一小时后双下肢完全不能动,尿潴留。病前身体健康,半年前生一女孩,健在。无腰痛、外伤、结核、高血压、血液病等历史。查体:体温36.8℃,血压130/80毫米汞柱,心率80次/分,律齐。肺正常,肝脾未触及,颈软,克氏征(-),双上肢肌力、肌张力、腱反射对称正常。双下肢肌力“0”级,肌张力低,双跟膝反射明显低,双侧巴民征(+)及查多克氏征(+),双侧T_(10)以下痛触觉消失,深感觉消失,脊柱无畸型压痛,尿潴留。眼底:未见异常。血尿便常规正常,血小板、出凝血时间、凝血酶原时间正常。诊为脊髓血管畸型合并 Female patient, 26 years old, married. At 2:00 on December 2, 1982 sleep sudden sensation in the waist severe pain unbearable. Go to the toilet without ease, to hospital emergency room. 3 days before illness, had a sense of backache, but did not mind, to hospital for urinary stones, test urine. Squat urinate suddenly felt the lower extremity numbness fell to the ground, was helped back to the emergency room, then both lower extremities only in bed fretting, feeling lumbar and leg numbness, like rope tied uncomfortable, one hour later, both lower extremities can not move, urine Retention. Premorbid physical health, a girl six months ago, alive. No back pain, trauma, tuberculosis, hypertension, blood diseases and other history. Physical examination: body temperature 36.8 ℃, blood pressure 130/80 mm Hg, heart rate 80 beats / min, law Qi. Normal lung, liver and spleen not touched, neck soft, Kirschner sign (-), double upper limb muscle strength, muscle tension, tendon reflex symmetry normal. Muscle strength “0” of both lower extremities, low muscular tension, double knees reflexes were significantly lower, both Baxian symptoms (+) and Chadak’s syndrome (+), bilateral T_ Feeling disappear, spondylolisthesis tenderness, urinary retention. Fundus: no abnormalities. Hematuria is routine, platelets, clotting time, prothrombin time is normal. Diagnosis of spinal vascular malformations combined