多发性骨髓瘤一例误诊分析

• 作 者: 姜涛 修青
• 机 构: 山东省胶州中心医院,山东省胶州中心医院 胶州 266300,胶州 266300
• 出 处: 临床医学
• 发表日期: 1993年02期
• 关键词: 多发性骨髓瘤 胸肋部 急性肾盂肾炎 腰区 泌尿系感染 天来 胃内容物 巩膜轻度黄染 异常浆细胞 音略

男患,王某,54岁,住院号116725,因腰区痛及双侧胸肋部隐痛不适3个月,加重伴恶心、呕吐20余天,于1991年8月20日来诊,以“泌尿系感染、急性肾盂肾炎?”入院。3个月前无明显诱因地出现双侧腰区及胸肋部疼痛不适,活动时尤著,以左侧明显。无畏寒、发热,无血尿及浮肿,近20天来疼痛加重并伴有反复恶心呕吐,呈非喷射性,为胃内容物,消瘦明显。

Male suffering, Wang, 54 years old, hospital number 116,725, due to low back pain and bilateral chest pain and discomfort for 3 months, aggravated with nausea and vomiting for more than 20 days, August 20, 1991 visit to “urinary Department of infection, acute pyelonephritis? ”Admission. 3 months ago, there was no obvious incentive to appear bilateral lumbar and thoracic pain discomfort, activity especially, to the left obvious. No chills, fever, no hematuria and edema, the past 20 days to increase the pain and accompanied by repeated nausea and vomiting, was non-jet, stomach content, weight loss significantly.