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多发性骨髓瘤是血液系统疾病中最易误诊的疾病,我院自1990年~1999年共收治31例,误诊率达70%,现分析如下: 1 临床资料 1.1 一般情况:全部病例均为我院住院病人,男19例,女12例,年龄40~68岁,在院外误诊时间3个月~5年。 1.2 临床表现:发热16例,骨疼25例,贫血25例,出血倾向18例,腰及下肢根性疼痛12例,齿龈肿块1例,骨肿块12例,胸闷4例,胸腔积液2例,雷诺氏症状3例,呕吐、
Multiple myeloma is the most misdiagnosed disease in blood system diseases. Our hospital has treated 31 cases from 1990 to 1999. The misdiagnosis rate is 70%. The analysis is as follows: 1 Clinical data 1.1 General conditions: All cases are me. Hospital inpatients, 19 males and 12 females, aged 40 to 68 years old, outside the hospital misdiagnosis time 3 months to 5 years. 1.2 Clinical manifestations: 16 cases of fever, 25 cases of bone pain, 25 cases of anemia, 18 cases of bleeding tendency, 12 cases of lumbar and lower limb pain, 1 case of gingival mass, 12 cases of bone mass, 4 cases of chest tightness, and 2 cases of pleural effusion. Raynaud’s symptoms in 3 cases, vomiting,