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1临床资料患者男,67岁,主因“胸部以下痛觉消失,双下肢不能活动4d”就诊。患者于就诊前4d上午7点左右晨练向前弯腰后自觉腰部扭伤,同时出现双下肢乏力、行走不稳,10min后双下肢完全不能活动,伴有小便不能,休息半小时后无缓解,就诊当地医院,查体胸部以下痛觉消失,触觉正常,拍胸腰椎片:胸腰椎退行性改变,右上腹部钙化密度影,颅脑CT提示未见异常,胸部CT提示降主动脉夹层;胸脊髓MRI提示未见明显异常。为进一步治疗来我院行胸腹部CTA提示:降主动脉壁间血肿,未发现破口。既往:2型糖尿病病史,一直口服消可
1 Clinical data Patient male, 67 years old, mainly due to “chest pain disappeared below the lower extremity can not move 4d ” treatment. Patients at 4:00 before treatment at about 7 o’clock morning exercise bending forward bending waist conscious, while the lower extremity weakness, walking unsteady, 10min after the lower extremity can not be fully active, with urine can not rest after half an hour without relief, treatment Local hospitals, physical chest pain disappeared below the touch, normal touch, take thoracic and lumbar spine: thoracolumbar degenerative changes, right upper quadrant calcification density, brain CT showed no abnormalities, chest CT prompted aortic dissection; thoracic spinal cord MRI tips No obvious abnormalities. To further treatment to our hospital thoracoabdominal CTA Tip: descending aorta hematoma, found no break. Past: A history of type 2 diabetes that has been orally administered