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我院于1979年12月16日门诊以慢性肾小球肾炎伴尿毒症收住院,后经骨髓涂片确诊为多发性骨髓瘤患者一例,现报告如下: 马×,女性,62岁,全身骨骼、腰背疼痛乏力2月,下肢浮肿半月,无尿三天。入院检查:体温38.3℃,脉搏84次/分,呼吸16次/分,血压110/90毫米汞柱。慢性消瘦病容,青、臀、骶部有4个约1×1.5厘米大小褥疮。全身浅表淋巴结未触及。双肺呼吸音消晰,心界不扩大,心率84次/分,心律齐,A_2>P_2。腹平软,肝脾不肿大。双侧肾区有压痛、叩击痛。胸、腰、骶椎均压痛。下肢凹陷性水肿。实验室检查:血红蛋白9克,红细胞320万/立方毫米,白细胞6,500个/立方毫
Our hospital in December 16, 1979 clinic with chronic glomerulonephritis with uremia admitted to hospital, after bone marrow smear diagnosis of multiple myeloma patients, are as follows: Male ×, female, 62 years old, body bones , Low back pain, fatigue in February, lower extremity edema, no urine for three days. Admission examination: body temperature 38.3 ℃, pulse 84 beats / min, breathing 16 beats / min, blood pressure 110/90 mm Hg. Chronic weight loss, blue, buttocks, sacral area has 4 about 1 × 1.5 cm size bedsores. Whole body superficial lymph nodes not touched. Respiratory sound clear double lungs, heart does not expand, heart rate 84 beats / min, heart rhythm Qi, A_2> P_2. Abdomen soft, liver and spleen is not enlarged. Bilateral renal area have tenderness, percussion pain. Chest, waist, sacral vertebrae are tender. Lower limb pitting edema. Laboratory tests: 9 grams of hemoglobin, erythrocytes 3.2 million / cubic mm, white blood cells 6,500 / cubic milliliter