A 49-year-old man presented to our emergency department because of lower back pain and paraplegia after a drain pipe had rolled onto him from 20 m above. His vital signs were stable and physical examination revealed abdominal bruising and distension with tenderness, and paraplegia. Laboratory tests showed elevated myoglobin (2250 ug/L) with leukocytosis (19.3 x 109 cells/L), but his aspartate and alanine transaminase and bilirubin levels were normal. Initial abdominal computed tomography (CT) showed multiple vertebral fractures (Fig. la) and a haematoma near the third lumbar vertebra (Fig. lb) with a normal gallbladder (Fig. lc).
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机译：一名49岁的男子因排水管从上方20 m处翻滚而下腰痛和截瘫，因此来到我们的急诊室。他的生命体征稳定，体格检查发现腹部青肿，压痛和截瘫。实验室检查显示肌红蛋白升高（2250 ug / L），伴白细胞增多（19.3 x 109细胞/ L），但他的天门冬氨酸和丙氨酸转氨酶和胆红素水平正常。最初的腹部计算机断层扫描（CT）显示多发性脊椎骨折（图1a）和第三腰椎附近的血肿（图1b），胆囊正常（图1c）。
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