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患者女,65岁。1983年4月起多尿、烦渴多饮,症状渐加重。查体:贫血貌,余无特殊。血象:Hb 5.5g,WBC 5800,Tc>10万。尿:蛋白++,糖(-),浓缩试验异常(比重1.010～1.015,量昼夜相近),pH6～7,凝溶蛋白+。血沉168mm。血糖92mg/dl,肌酐1.78mg/dl,尿酸9.0mg/dl,血钙10.lmg/dl,钾3.4～3.8mEq/L,钠128～130mEq/L,氯106～109mEq/L,CO~2-CP41.5～44.8Vol％,ZnTT19u,A/G3.1/6.4。醋酸纤维薄膜电泳见单株峰M带,IgG正常,IgM、IgA偏低,髓象骨髓瘤细胞占26％,眼底
Female patient, 65 years old. Since April 1983, more urine, polydipsia, symptoms gradually increased. Physical examination: anemia appearance, I no special. Blood: Hb 5.5g, WBC 5800, Tc> 100,000. Urine: protein ++, sugar (-), concentration test abnormalities (specific gravity 1.010 ~ 1.015, the amount of day and night are similar), pH6 ~ 7, coagulation protein +. ESR 168mm. Blood glucose 92mg / dl, creatinine 1.78mg / dl, uric acid 9.0mg / dl, calcium 10.lmg / dl, potassium 3.4 ~ 3.8mEq / L, sodium 128 ~ 130mEq / L, chlorine 106 ~ 109mEq / L, -CP41.5 to 44.8 Vol%, ZnTT19u, A / G3.1 / 6.4. Acetate thin film electrophoresis showed a single peak M band, IgG is normal, IgM, IgA low, medullary myeloma cells accounted for 26%, fundus