论文部分内容阅读
多发性骨髓瘤(Multiple Myeloma,MM)在我国并不罕见,其临床表现多种多样,特别是在疾病的早期,极易漏诊或误诊.现将我科1980年至今收治7例报道如下:1 一般资料以腰痛为首发症状,易误诊为腰肌劳损或其它腰椎疾患例1:男46岁,1989年因摔倒后诱发腰部疼痛一年,并逐渐加重,于1990年3月住我院骨科,经X线检查诊断为“骨质疏松,L4～5压缩性骨折”,予激素及止痛药物治疗,症状减轻.同年五月,腰痛加重,查血沉(ESR)145mm/h,再次入骨科治疗.查体:脊柱下胸段、腰段叩痛,余无阳性体征.实验室检查:白细胞(WBC)1.65×10~9/L,血红蛋白(Hb)75g/L,血小板(BPC)150
Multiple Myeloma (MM) is not uncommon in China, its clinical manifestations are diverse, especially in the early stages of the disease, easily missed diagnosis or misdiagnosis. Now our department since 1980 treated 7 cases reported as follows: 1 General information to low back pain as the first symptom, easily misdiagnosed as lumbar muscle strain or other lumbar disease Example 1: male, 46 years old, in 1989 due to falls caused by lumbar pain for one year and gradually increased in March 1990 living in our hospital orthopedics , The diagnosis of “osteoporosis, L4 ~ 5 compression fractures” by X-ray examination, hormone and analgesic treatment, symptoms reduced in May the same year, increased back pain, ESR 145mm / h, re-orthopedic treatment Physical examination: WBC 1.65 × 10 ~ 9 / L, hemoglobin 75g / L, platelet (BPC) 150