患者，男，40岁，近1个月觉腰部疼痛，全身 不适，食欲减退，午后低热，査体腰部活动 受限，有叩击痛，CT示腰2椎体蜂窝状低 密度灶。应首先考虑的是

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SQL Error: select id,body,options from ***_enewstiku where sourceid='25198' and id < 2136298 and id<>'2136298' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='25198' and id > 2136298 and id<>'2136298' order by id asc limit 5