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多发性骨髓瘤是浆细胞恶性增生所引起的肿瘤性疾病,较为少见。现将我科所遇一例报告如下。 曲××,女,55岁。因自幼鼻出血至今40年,贫血发热3月余,于1981年3月14日入院。查体:体温37.8℃,血压108/60,消耗病容,重度贫血貌,周身骨无压痛。鼻腔粘膜干燥,有轻度萎缩。桶状胸,叩呈过清音,左肺下可闻及细小湿性啰音,心界不扩大,心尖区可闻及Ⅲ级收缩期吹风样杂音,心率120,律齐,肝在肋下锁骨中线1.5cm处触及,脾未触及。血红蛋白5.4g;红细胞187
Multiple myeloma is a neoplastic disease caused by malignant proliferation of plasma cells, is relatively rare. Now we encounter a case report is as follows. Qu × ×, female, 55 years old. Due to childhood bleeding nose so far 40 years, more than 3 months of anemia fever, March 14, 1981 admission. Physical examination: body temperature 37.8 ℃, blood pressure 108/60, consumption of disease, severe anemia, the body bone no tenderness. Nasal mucosa dry, mild atrophy. Barrel-shaped chest, knocking was clear voice, can be heard under the lungs and small wet rales, the heart does not expand, the apical area can be heard and grade systolic hair-like murmurs, heart rate 120, law Qi, liver in the subclavian clavicle midline 1.5cm at the touch, the spleen not touched. Hemoglobin 5.4g;