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神经淋巴瘤病一例 被引量:2

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摘要 患者男,43岁.主因"渐进性双下肢麻木8年,加重伴无力1个月"于2015年1月15日入院.患者于2007年1月无明显诱因出现双下肢麻木、胀痛,按摩后可好转.2014年12月10日凌晨2:00搬东西时突发双下肢力弱,伴麻木及胀痛,休息后症状加重.12月16日外院诊断为"腰椎间盘突出",给予甘露醇及糖皮质激素(简称激素)治疗5d(具体不详),症状仍进一步加重.12月21日外院考虑"脊髓炎",行2次腰椎穿刺后,给予地塞米松静脉点滴及鞘内注射,双下肢无力及胀痛症状仍逐渐加重.患者发病以来偶有发热,最高体温37.4℃,体重未见明显减轻,精神、饮食、睡眠可,排尿困难2周,大便正常.既往史:1979年脑部外伤后遗留记忆力、计算力稍差;1996年车祸致脑部外伤,未遗留后遗症;2014年12月外院诊断"左侧股骨头坏死"(具体不详).
出处 《中华内科杂志》 CAS CSCD 北大核心 2016年第9期722-723,共2页 Chinese Journal of Internal Medicine
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参考文献8

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