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多发性骨髓瘤(MM)多发生于中、老年,起病隐袭,病情进展缓慢,临床表现多样,虽然近年来骨髓穿刺广泛应用和临床免疫学进展,对本病认识和诊断水平有很大提高,但误诊、漏诊者仍不少见。由于早期诊治对本病预后至关重要,现将我院的23例分析如下。临床资料本组23例,男17例,女6例。年龄最小38岁,最大76岁。出现症状距确诊的时间,最短7天,最长7年。首发症状:腰背痛,关节痛15例;外伤后骨折1例;水肿,贫血2例;上消化道出血1例;牙龈出血2例;肝功异常1例;高球蛋白血症1例。首
Multiple myeloma (MM) occurred in the elderly, insidious onset, the disease progressed slowly, clinical manifestations and diversity, although in recent years the widespread use of bone marrow aspiration and clinical immunology progress, the level of awareness and diagnosis of this disease is very large Improve, but misdiagnosis, missed diagnosis is still not uncommon. Because of the early diagnosis and treatment of the prognosis of the disease is essential, now our hospital’s 23 cases as follows. Clinical data The group of 23 cases, 17 males and 6 females. The youngest 38 years old, maximum 76 years old. Symptoms from the time of diagnosis, the shortest 7 days, up to 7 years. The first symptom: low back pain, joint pain in 15 cases; traumatic fracture in 1 case; edema, anemia in 2 cases; upper gastrointestinal bleeding in 1 case; gingival bleeding in 2 cases; liver abnormalities in 1 case; 1 case of hypergammaglobulinemia. first