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d.innerHTML = d.innerHTML + '<a class=\"download_word download_word_lb\" href=\"javascript:;\" id=\"vipdown\" onclick=\"showpay(1)\"><em></em>下载文档(未登录)内科疑难病例讨论范文描述：答案：以下是一篇内科疑难病例讨论的范文：病例：一名45岁男(nán)性(xìng)，主诉背部疼痛、腰痛、下肢无力已有3个月。病史：患者无明显的既往病史，无手术史。最近3个月来，患者出现了背部疼痛、腰痛、下肢无力的症状，疼痛程度逐渐加重，下肢无力也逐渐加重。患者曾去过多家医院就诊，但疗效不佳。体格检查：患者神志清醒，面色苍白，无明显的发热、心悸等症状。头颈部无异常，颈椎无明显压痛。胸部无明显异常。腹部软，无肝脾肿大，无明显压痛。腰椎有明显的压痛，同时有明显的肌肉紧张。下肢肌力4级，膝反射和跟腱反射减弱。实验</a>';
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