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多发性骨髓瘤是一种浆细胞的恶性肿瘤,该病隐袭而且症状多样,误诊率较高,文献报道可达54～100%。我院从1957年～1987年共收住17例,误诊率达94％。就诊到确诊的间隔时间最短的39天,最长的570天,平均277天。误诊病种类达19种,该病的临床表现有骨胳疼痛、贫血、出血、血沉增快、反复感染、头疼头晕乏力、氮质血症,X线表现为骨质疏松……等。可见该病临床表现的复杂性。因此当发现以上症状和体征时一定要想到多发性骨髓瘤的可能,这就提供了早期诊断的线索。
Multiple myeloma is a malignant tumor of plasma cells, the disease insidious and diverse symptoms, misdiagnosis rate higher reported in the literature up to 54 to 100%. 17 cases were admitted in our hospital from 1957 to 1987, the misdiagnosis rate reached 94%. The shortest 39 days for the diagnosis, the longest 570 days, an average of 277 days. 19 kinds of misdiagnosis, the clinical manifestations of the disease are bone pain, anemia, bleeding, ESR, repeated infections, headache, dizziness, fatigue, azotemia, X-ray showed osteoporosis ... ... and so on. Shows the complexity of the clinical manifestations of the disease. Therefore, when you find the above symptoms and signs must think of the possibility of multiple myeloma, which provides clues to early diagnosis.