论文部分内容阅读
1病例报告患者男,65岁,以“腰背疼痛半年余,疼痛加重并下肢活动无力2月”为主诉,于2014年3月9日来我院就诊。半年前患者因腰背疼痛做X线胸片和CT检查发现肺内有一结节,肋骨、胸椎多处骨质破坏,疑为多发性骨髓瘤,但未行正规治疗,病情逐渐加重。入院后实验室检查血常规示WBC 7.2×109/L、RBC 1.05×1012/L、Hb 36g/L、PLT 39×109/L、ESR160mm/h,血清总蛋白为106g/L、白蛋白16g/L、球蛋白90g/L、本周氏蛋白阳性,血型为AB型;骨髓检查示浆细胞占52%,提示多发性骨髓瘤。影像学检查提示多发性骨髓瘤伴有肺转移。诊断为多发性骨髓瘤。予以对症、镇痛及支持治疗。入院第2日输入“AB”型红
A case report of male patients, aged 65, with “low back pain more than six months, increased pain and limb weakness in February” as the main complaint, in March 9, 2014 to our hospital. Six months ago, patients with low back pain X-ray and CT examination found a pulmonary nodules, ribs, thoracic multiple bone destruction, suspected multiple myeloma, but without formal treatment, the condition gradually aggravated. After admission, the routine laboratory tests showed that the blood samples of WBC 7.2 × 109 / L, RBC 1.05 × 1012 / L, Hb 36 g / L, PLT 39 × 109 / L and ESR 160 mm / h, total serum protein of 106 g / L, globulin 90g / L, this week’s protein positive, AB blood type; bone marrow examination showed plasma cells accounted for 52%, suggesting that multiple myeloma. Imaging studies suggest multiple myeloma with lung metastases. Diagnosis of multiple myeloma. To symptomatic, analgesic and supportive treatment. On the 2nd day of admission, enter “AB” red