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1 本病特点①男性:63岁,诱因为搀扶小孩后引起右手腕关节疼痛,逐日加重.②吸烟40余年.③病情发展迅速,20余日发展为右侧半身瘫痪,右眼睑下垂伴脑部眩晕.④左颈前深处可触及黄豆大小质地较硬、且不活动的淋巴结,压痛(十).⑤X光摄片:颈3～6推前后缘均见唇样增生,4、5椎间隙变窄.2 诊断思路2.1 上肢外伤:患者因搀扶小孩诱发右上肢腕关节疼痛,须经骨伤科医生处理,未见好转病情反迅速加重,同侧上下肢疼痛及右侧半身麻木,患者虽有一定诱发因素,但挫伤、扭伤不会在20余日内引起右
1 The characteristics of the disease ① male: 63 years old, the cause is caused by supporting the child after the right wrist pain, day by day.② smoking more than 40 years.③The condition developed rapidly, more than 20 days for the development of the right hemiplegia, right eyelid ptosis with the brain Dizziness .④The depth of the left anterior neck can reach the size of the texture of soybeans hard texture, and inactive lymph nodes, tenderness (X) .⑤X light radiography: 3 to 6 before and after the neck are lip-like hyperplasia, 4,5 disc space Narrow.2 Diagnostic ideas 2.1 Upper Extremity Trauma: Patients with hand-held children induced right upper extremity wrist pain, to be treated by the orthopedic surgeon, did not improve the condition rapidly aggravated, ipsilateral upper and lower extremity pain and the right half body numbness, although the patient There are certain triggers, but bruises, sprains will not cause right in more than 20 days