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患者男,54岁,住院号181785。因进行性腰背疼痛1年,伴胸闷心悸2周于1986年6月12日入院。1年前患腰背部剧烈疼痛,弯腰困难。至外院骨科就诊,经摄片发现第12胸椎压缩性骨折,血沉50mm/h;尿蛋白+++。1985年10月腰背部疼痛加剧,于该院住院治疗51天,出院诊断为“多发性骨髓瘤?反应性浆细胞增多待排”。近3月来,腰背部疼痛进行性加剧,并累及胸胁部,活动受限,疼痛严重时大汗淋漓,难以忍受,致卧床不起。近半月,全身骨骼疼痛、翻身亦感困难,伴胸闷气急入院。既往有精神分裂症史10余年,一直服氯丙嗪治疗。体检:T36.4℃,R25次/分,BP17.3/10.4kPa。贫
Male patient, 54 years old, hospital number 181785. Due to progressive low back pain for 1 year, accompanied by chest tightness palpitations 2 weeks in June 12, 1986 admission. 1 year ago suffering from severe back pain, bending over difficulties. Orthopedic surgery to the outer hospital, the film found that the first thoracic compression fractures, erythrocyte sedimentation rate 50mm / h; urinary protein +++. October 1985 increased back pain, hospitalized in the hospital for 51 days, discharged diagnosed as “multiple myeloma? Reactive plasma cells increased row.” In the recent 3 months, the back pain intensified and involved the thoracic and spina bifida. The activities were limited. When the pain was severe, it sweats and is unbearable. Nearly half of the month, the whole body bone pain, stand up and feel difficult, with chest tightness and angina hospitalized. Past history of schizophrenia more than 10 years, has been taking chlorpromazine treatment. Physical examination: T36.4 ℃, R25 beats / min, BP17.3 / 10.4kPa. poor