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多发性骨髓瘤系恶性单克隆免疫球蛋白病.国内外诸多报道,已非少见病。由于起病多隐袭,表现亦复杂,误诊率达58~64%。临床并发症多,约有60~90%累及肾脏,是继发性肾脏病的常见病因之一。我院于1975~1989年共收治多发性骨髓瘤19例,均经骨髓穿刺检查确诊。其中伴肾损害者15例,占78.9%,现报道如下:
Multiple myeloma malignant monoclonal immunoglobulinopathy. Many reports at home and abroad, is no less common disease. Due to more insidious onset, the performance is complicated, misdiagnosis rate of 58 to 64%. More clinical complications, about 60 ~ 90% involving the kidneys, is one of the common causes of secondary kidney disease. In our hospital from 1975 to 1989 were treated 19 cases of multiple myeloma were confirmed by bone marrow biopsy. 15 cases with renal damage, accounting for 78.9%, are reported as follows: