论文部分内容阅读
目的分析轻链病患者的特点和误诊原因。方法分析轻链病12例患者的临床和实验室特点,找寻误诊的原因。12例患者中,首发症状为骨痛、纳差者7例;尿频、下肢水肿、少尿者3例;头晕、乏力者2例。4例有病理性骨折,1例瘫痪。误诊为肾炎7例(58.3%)、腰椎疾患3例(25%),误诊时间1～36个月。实验室检查:尿蛋白(+
Objective To analyze the characteristics of patients with light chain disease and the causes of misdiagnosis. Methods Clinical and laboratory features of 12 patients with light chain disease were analyzed to find out the causes of misdiagnosis. Twelve patients, the first symptom of bone pain, anorexia in 7 cases; frequent urination, lower extremity edema, oliguria in 3 cases; dizziness, fatigue in 2 cases. 4 cases of pathological fracture, 1 case of paralysis. 7 cases (58.3%) were misdiagnosed as nephritis, 3 cases (25%) had lumbar disease, and the misdiagnosis time was 1 ~ 36 months. Laboratory tests: urinary protein (+