论文部分内容阅读
例1:患者,男,64岁。因全身多处进行性骨痛2~+月、畏寒、发热半月于1991年3月5日入院。体格检查:贫血貌,被动体位,浅表淋巴结不肿大,心肺(—),胸椎5、6压痛,肝脾未扪及,双肾无叩痛,双下肢不肿。化验检查:Hb 76g/L,Pit 65×10~9/L,WBC7.6×10~9/L,小便常规。蛋白++++,管型7～9/低倍。尿本周氏蛋白(+),血沉120mm/小时,血尿酸65.5mmol/L,BUN15.38mmol/L,Cr 335.9mmol/L,血钙2.58mmol/L,IgG 6.16g/L,IgA 0.18g/L,IgM 0.01g/L,蛋白电泳、肝功均正常。胸片:左下肺炎,左6肋右5肋后支陈旧性骨折。X光照片:胸、腰椎部分椎体有虫蚀样改变,头
Example 1: Patient, male, 64 years old. Due to systemic multiple pain 2 to + month, chills, fever half month in March 5, 1991 admission. Physical examination: anemia appearance, passive position, superficial lymph nodes is not enlarged, heart and lung (-), 5,6 tenderness of the thoracic spine, liver and spleen not palpable, no pain in both kidneys, double lower extremity swollen. Laboratory tests: Hb 76g / L, Pit 65 × 10 ~ 9 / L, WBC7.6 × 10 ~ 9 / L, urine routine. Protein ++++, tube 7 ~ 9 / low fold. Urinary Benignin (+), erythrocyte sedimentation rate 120 mm / h, serum uric acid 65.5 mmol / L, BUN15.38 mmol / L, Cr 335.9 mmol / L, calcium 2.58 mmol / L, IgG 6.16 g / L, IgA 0.18 g / L, IgM 0.01g / L, protein electrophoresis, liver function are normal. Chest radiograph: left lower pneumonia, left 6 rib right rib 5 old branch fracture. X-ray photos: thoracic, lumbar vertebral bodies have altered samples of pests, head