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多发性骨髓瘤(MM)大都发生于老年人,而伴有乳糜状胸水者尚未见报道。我院收治1例,伴乳糜胸水,在骨髓及胸水中含大量葡萄状细胞。现报告如下。患儿男,11岁。4年前因骑车不慎摔跤后经常腰疼、发热(38～39℃),活动时加重。2年来发作频繁,且腰部活动受限。4月前自觉胸部有震水感,伴右侧胸疼,但无咳嗽、咯痰。门诊曾诊断“结核性胸膜炎骨结核”。接受抗痨治疗无效,于1985年10月住
Multiple myeloma (MM) mostly occurs in the elderly, while patients with chylous pleural effusion have not been reported. A hospital in our hospital, with chylous pleural effusion, in the bone marrow and pleural effusion contains a large number of grape-like cells. The report is as follows. Children male, 11 years old. 4 years ago due to cycling accidentally wrestling often back pain, fever (38 ~ 39 ℃), increased activity. 2 years frequent seizures, and waist activity is limited. 4 months ago conscious chest flu feeling, with the right chest pain, but no cough, expectoration. Outpatient diagnosis of tuberculous pleurisy bone tuberculosis. Anti-tuberculosis treatment is invalid, in October 1985 to live